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NPI Code Detail

MEDICARE: SHAUNA M LEINBACH CNM

MEDICARE: SHAUNA M LEINBACH CNM
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
1163W00000XRegistered Nurse120536-030WI
2367A00000XAdvanced Practice Midwife120536-032WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497751952
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUNA M LEINBACH CNM
Provider Business Mailing Address
First Line : 1032 S CESAR E CHAVEZ DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2203
Country : US
Telephone Number : 414-672-1353
Fax Number : 414-672-4265
Provider Business Practice Location Address
First Line : 1032 S CESAR E CHAVEZ DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2203
Country : US
Telephone Number : 414-672-1353
Fax Number : 414-672-4265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 03/07/2023

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Directions to “ SHAUNA M LEINBACH CNM” Practice Location

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