Provider Demographics
NPI:1144105263
Name:KOVAC, DANI-JOY (CNM)
Entity type:Individual
Prefix:
First Name:DANI-JOY
Middle Name:
Last Name:KOVAC
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:DANI-JOY
Other - Middle Name:
Other - Last Name:LEONHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:500 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-1317
Mailing Address - Country:US
Mailing Address - Phone:571-439-0384
Mailing Address - Fax:
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WICNM10170367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife