Leiting, Tara
Leiting, Tara is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Leiting, Tara can be contacted via phone (262) 245-7740.Contact Information
Primary practice address
N2950 State Road 67
Lake Geneva WI 53147-2655
Phone: (262) 245-7740
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 13432-33 | Wisconsin |
Profile Details
NPI number | 1902511702 |
---|---|
LBN Legal business name | Leiting, Tara |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2023 |
Last updated | May 20th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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