Provider Demographics
NPI:1356684492
Name:BATIZ, LEANN KAY (CNP)
Entity Type:Individual
Prefix:
First Name:LEANN
Middle Name:KAY
Last Name:BATIZ
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 W 57TH ST
Mailing Address - Street 2:STE 1A
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2893
Mailing Address - Country:US
Mailing Address - Phone:605-251-1154
Mailing Address - Fax:
Practice Address - Street 1:1905 W 57TH ST
Practice Address - Street 2:STE 1A
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2893
Practice Address - Country:US
Practice Address - Phone:605-251-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000777363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health