Individual
ANN MARIE LEEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3710 57TH AVE, KENOSHA, WI 53144-4820
(414) 526-9024
Mailing address
3710 57TH AVE, KENOSHA, WI 53144-4820
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169833
WI
363LF0000X
Family Nurse Practitioner
Primary
6701
WI
Other
Enumeration date
08/18/2015
Last updated
05/14/2020
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