LEAH PETERSON

APPLETON, WI
NPI1710600317
Former NameLEAH PROPSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  13279-33)
Enumeration Date2022-09-20
Last Update Date2022-11-04
Business Address
LEAH PETERSON
3925 N GATEWAY DR
APPLETON, WI 54913-7863
Phone number: 920-830-6877
Mailing Address
LEAH PETERSON
617 E BREWSTER ST
APPLETON, WI 54911-3719
Phone number: