Leann Carol Tucker, CERTIFIED NURSING AS
NPI #1528330503 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1528330503
- Entity Type
- Individual
- Name
- Leann Carol Tucker, CERTIFIED NURSING AS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Home Health Aide
- Credential
- CERTIFIED NURSING AS
- Enumeration Date
- Feb 6, 2012
- Last Updated
- Feb 6, 2012
Practice Location
- Address
- 121 W MAIN STREET
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074
- Phone
- (262) 284-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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Organizations
| Provider Name | |
|---|---|
| Medical Supportive Care LLC |
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