1386807147 NPI number — LEANA LE TURNER RN-FNP

Table of content: LEANA LE TURNER RN-FNP (NPI 1386807147)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386807147 NPI number — LEANA LE TURNER RN-FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURNER
Provider First Name:
LEANA
Provider Middle Name:
LE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN-FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ELLIOTT
Provider Other First Name:
LEANA
Provider Other Middle Name:
L
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN-FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1386807147
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/19/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
202 JAMES COLEMAN DRIVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
VICTORIA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
361-573-4000
Provider Business Mailing Address Fax Number:
361-485-0672

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
202 JAMES COLEMAN DRIVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
VICTORIA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-573-4000
Provider Business Practice Location Address Fax Number:
361-485-0672
Provider Enumeration Date:
07/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  AP117033 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)