Individual
LEAH J BRUXVOORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3394
(641) 672-3336
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3394
(641) 672-3336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A112463
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609121797
NPI
IA
01
—
A112463
IOWA LICENSE
IA
Enumeration date
07/16/2012
Last updated
08/21/2025
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