Provider Demographics
NPI:1750425112
Name:DEMPSEY, LEONA F (APNP, PHD)
Entity type:Individual
Prefix:DR
First Name:LEONA
Middle Name:F
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:APNP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-5139
Mailing Address - Country:US
Mailing Address - Phone:920-231-2858
Mailing Address - Fax:920-231-4048
Practice Address - Street 1:501 MERRITT AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-5139
Practice Address - Country:US
Practice Address - Phone:920-231-2858
Practice Address - Fax:920-231-4048
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25-033363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health