Provider Demographics
NPI:1205890993
Name:LEU, CYNTHIA LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LYNN
Last Name:LEU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W1708 W IOWA RD
Mailing Address - Street 2:
Mailing Address - City:IRON RIDGE
Mailing Address - State:WI
Mailing Address - Zip Code:53035-9726
Mailing Address - Country:US
Mailing Address - Phone:920-387-9987
Mailing Address - Fax:
Practice Address - Street 1:W1708 W IOWA RD
Practice Address - Street 2:
Practice Address - City:IRON RIDGE
Practice Address - State:WI
Practice Address - Zip Code:53035-9726
Practice Address - Country:US
Practice Address - Phone:920-387-9987
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health