Individual
DEBRA JO LEIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N. BIGHORN, MOORCROFT, WY 82721
(307) 756-3414
(307) 756-9237
Mailing address
208 N. BIGHORN, MOORCROFT, WY 82721
(307) 756-3414
(307) 756-9237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
18406
WY
363LF0000X
Family Nurse Practitioner
Primary
18406.0179
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115787600
—
WY
Enumeration date
01/31/2007
Last updated
03/17/2018
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