MEDICARE: LEANNA M MUNOZ NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4572-33	WI
2	363L00000X	Nurse Practitioner	4572-33	WI
3	163W00000X	Registered Nurse	154808	WI

General Provider Information

NPI Number	:	1972883973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNA M MUNOZ NP

Provider Business Mailing Address
First Line	:	2858 11TH ST
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-2707
Country	:	US
Telephone Number	:	920-372-3226
Fax Number	:

Provider Business Practice Location Address
First Line	:	2858 11TH ST
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-2707
Country	:	US
Telephone Number	:	920-372-3226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	03/20/2026

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