Individual
MR. LEAH SHEVAUN MATUSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
246315
WI
363LF0000X
Family Nurse Practitioner
Primary
11875
WI
Other
Enumeration date
12/15/2021
Last updated
11/17/2022
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