NPI 1922654631

Tierney C Leach

Practitioner Licensed Practical Nurse Elm Grove, WI

Practice location

Address: 14860 Jolenta Ln, Elm Grove, WI 53122-1025
Phone: (414) 378-6224
Mailing address: 6880 W Grantosa Dr, Milwaukee, WI 53218-2907

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 3214002 (WI)

Other Licensed Practical Nurse providers in Wisconsin →

Registry record

NPI: 1922654631
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2019
Record last updated: 18 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.