MEDICARE: HAYLEY LEINSS

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	163W00000X	Registered Nurse	196252	WI

General Provider Information

NPI Number	:	1366846974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY LEINSS

Provider Business Mailing Address
First Line	:	2632 N BARTLETT AVE APT A
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-3501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2632 N BARTLETT AVE APT A
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-3501
Country	:	US
Telephone Number	:	262-483-8732
Fax Number	:

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

Provider Enumeration Date	:	10/10/2014
Last Update Date	:	10/10/2014

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Directions to “ HAYLEY LEINSS ” Practice Location

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