Individual
MARY LEITERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
2401 E STREET NW, US DEPT OF STATE OFFICE OF MEDICAL SERVICES QUALITY, WASHINGTON, DC 20522-0102
(703) 875-4844
Mailing address
521 CLIFDEN DRIVE, MADISON, WI 53711
(608) 233-5997
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
098929
MO
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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