TAMI LEEBERG

FORT WAYNE, IN
NPI1487033882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71005559A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28152144A)
Enumeration Date2015-05-19
Last Update Date2016-09-23
Business Address
Ms. TAMI LEEBERG NP
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
Mailing Address
Ms. TAMI LEEBERG NP
2263 W NEW HAVEN AVE # 350
WEST MELBOURNE, FL 32904-3805
Phone number: 321-216-2288