Healthcare Provider Details

I. General information

NPI: 1679408918
Provider Name (Legal Business Name): LEAH FOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 CTY HWY A
SPOONER WI
54801
US

IV. Provider business mailing address

801 CTY HWY A
SPOONER WI
54801
US

V. Phone/Fax

Practice location:
  • Phone: 715-635-2171
  • Fax: 715-635-7074
Mailing address:
  • Phone: 715-635-2171
  • Fax: 715-635-7074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1108082-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: