Tamara L. Leahy
Nurse Practitioner
1000 N Oak Ave
Marshfield
, Wisconsin 54449-5703
Tamara L. Leahy
Nurse Practitioner
1000 N Oak Ave
Marshfield
, Wisconsin 54449-5703
(800) 782-8581
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Tamara L. Leahy
- 1000 N Oak Ave
- Marshfield, WI
- Zip : 54449-5703
- Phone : (800) 782-8581
Second Address
- Tamara L. Leahy
- 1000 N Oak Ave
- Marshfield, WI
- Zip : 54449-5703
- Phone : (800) 782-8581
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4602 | WI |
National Provider Identifier
| NPI | 1003190018 |
|---|---|
| Provider Name | Tamara L. Leahy |
| First Address | Marshfield, WI 54449-5703 |
| Second Address | Marshfield, WI 54449-5703 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2011 |
| Last Update Date | 25/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003190018 | NPI (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.