Individual provider · Type 1 NPI

Tierney C. Leach

Licensed Practical Nurse · Elm Grove, WI

NPI number 1922654631 Active

Practice location

14860 Jolenta Ln
Elm Grove, WI 53122-1025

Mailing address

6880 W Grantosa Dr
Milwaukee, WI 53218-2907

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X3214002 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2 other providers at this address

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About NPI 1922654631

Tierney C. Leach's National Provider Identifier is 1922654631, issued on Aug 18, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Elm Grove, WI. The record was last updated on Aug 18, 2019.