Provider Demographics
NPI:1629219449
Name:STEENSEN, LEANNE RAE (LPN)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:RAE
Last Name:STEENSEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:RAE
Other - Last Name:WESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:720 SE ASHTON CT
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-9686
Mailing Address - Country:US
Mailing Address - Phone:515-971-6598
Mailing Address - Fax:
Practice Address - Street 1:113 N WARRIOR LN
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8197
Practice Address - Country:US
Practice Address - Phone:515-987-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAP50531164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse