Leah Taylor Donovan, RN, APNP | |
375 W River Woods Pkwy, Suite 205, Glendale, WI 53212-1080 | |
(414) 961-7250 | |
(414) 961-2795 |
Full Name | Leah Taylor Donovan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 375 W River Woods Pkwy, Glendale, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558462036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2570-033 (Wisconsin) | Primary |
Entity Name | Milwaukee Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497324115 PECOS PAC ID: 4789089954 Enrollment ID: O20220112000844 |
Mailing Address | Practice Location Address |
---|---|
Leah Taylor Donovan, RN, APNP 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 961-7250 | Leah Taylor Donovan, RN, APNP 375 W River Woods Pkwy, Suite 205, Glendale, WI 53212-1080 Ph: (414) 961-7250 |
Byung Geun Kim, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-461-9250 | |
Mrs. Kathleen Pugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W River Woods Pkwy Ste 130, Glendale, WI 53212 Phone: 414-249-2420 Fax: 414-961-0298 | |
Paula M Kiehl, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-961-6770 Fax: 414-961-6791 | |
Mharajoy S Kobinah, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4655 N Port Washington Rd, Suite 325, Glendale, WI 53212 Phone: 414-269-8282 Fax: 414-269-8280 | |
Juliana M Shah, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7080 N Port Washington Road, Glendale, WI 53217 Phone: 414-351-4009 Fax: 414-351-7060 | |
Lori L. Hartz, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4655n Port Washington Rd 325, Glendale, WI 53212 Phone: 414-269-8282 Fax: 414-269-8280 | |
Mr. David Andrew Schuster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-585-1000 |