Ivy E Leasum, NP

NPI #1295925824 in De Pere, Wisconsin

Provider Information

NPI Number
1295925824
Entity Type
Individual
Name
Ivy E Leasum, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Jul 30, 2007
Last Updated
Apr 22, 2024

Practice Location

Address
320 N WISCONSIN ST
ZIP Code
54115-2737
Phone
(920) 327-7056

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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