Individual
LEESA ANN MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.P.
Contact information
Practice address
730 N MARGARET ST, MARKESAN, WI 53946-8688
(920) 398-2406
(920) 398-3766
Mailing address
420 E DIVISION ST, FON DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3836-033
WI
Other
Enumeration date
09/30/2009
Last updated
11/17/2020
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