Leeann Lynn Flood, LPN/RCS
Individual provider Active NPI Licensed Practical Nurse · Antigo, WI
NPI 1992958581 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1992958581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 307564-031 (WI)
- Practice address
- 209 E 5TH Ave
Antigo, WI 54409-2713 - Phone
- (715) 623-6846
- Fax
- (715) 623-6846
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307564-031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 307564-031 | WI | Yes |
Addresses
Primary practice location
209 E 5TH Ave
Antigo, WI 54409-2713
Mailing address
209 E 5TH Ave
Antigo, WI 54409-2713
Phone (715) 623-6846
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3973870830 | Medicaid | WI |
Other providers in Antigo, WI
- Family Foot and Ankle Clinic LLC
- Steven R Felde
- Angela Joy Filbrandt-Sheldon
- Cheryl Ann Finnel
- Samantha Ann Fiser
- Kristine E Flowers
- Annika Grace Fox
- Genda Sue Freeman
- Patrick William Frey
- Peter Scott Freyer
All providers in Antigo, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.