Provider Demographics
NPI:1851581904
Name:LEONARD, SHARON L (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:L
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6790 MOON LIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-9112
Mailing Address - Country:US
Mailing Address - Phone:608-825-9921
Mailing Address - Fax:
Practice Address - Street 1:6790 MOON LIGHT CIR
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-9112
Practice Address - Country:US
Practice Address - Phone:608-825-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI31223-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse