Lesnjak, Misty B

Lesnjak, Misty B is an individual health care provider with primary practice located at 1220 Dewey Ave , Wauwatosa WI 53213. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lesnjak, Misty B can be contacted via phone (414) 773-4312.

Contact Information

Primary practice address
1220 Dewey Ave Wauwatosa WI 53213
Phone: (414) 773-4312
Fax: (414) 454-6522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7799 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7799 Wisconsin

Profile Details

NPI number 1932621752
LBN Legal business name Lesnjak, Misty B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2017
Last updated Nov 20th, 2023 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932621752 NPPES
Wisconsin MEDICAID 100070115
Wisconsin MEDICAID 100070157

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