Individual provider · Type 1 NPI
Sally Jo Ledvina, APNP
Psychiatric/Mental Health Nurse Practitioner · Luxemburg, WI
NPI number
1730474347
Active
Practice location
E1430 Krines Rd
Luxemburg, WI 54217-7731
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4387-033 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1730474347
Sally Jo Ledvina, APNP's National Provider Identifier is 1730474347, issued on Jun 10, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Luxemburg, WI. The record was last updated on Sep 26, 2016.