Leann M Derungs NP

NPI 1073577607 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073577607
Gender Female
Enumeration Date 04/12/2006
Last Updated 12/08/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4602 EASTPARK BLVD
MADISON WI, 53718-2002, US
Phone (608) 263-1530
Fax
Business Location
7974 UW HEALTH COURT
MIDDLETON WI, 53562-5531, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 2052
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According to our database, Leann M Derungs NP NPI is 1073577607, taxonomy code is 363L00000X and license number is 2052, license state is located at Wisconsin. Leann M Derungs NP physically located at 4602 Eastpark Blvd, Madison WI, 53718-2002. NPI Number Leann M Derungs NP has the Individual type.

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1073577607 NPI number is provided on an as is basis without warranty of any kind. 1073577607 is maintained by the National Plan & Provider Enumeration System. The contents of Leann M Derungs NP are for informational purposes only.