Individual
LEAH MARIE DEL GAUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2900 WEST OKLAHOMA AVE., 2ND FLOOR, MILWAUKEE, WI 53215
(414) 649-6472
Mailing address
2900 WEST OKLAHOMA AVE., 2ND FLOOR, MILWAUKEE, WI 53215
(414) 649-6472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5302
WI
363L00000X
Nurse Practitioner
Primary
5302-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029892
—
WI
Enumeration date
05/09/2013
Last updated
05/28/2024
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