Provider Demographics
NPI:1003679119
Name:MERKLEIN, LESSLEY (RN, BSN)
Entity Type:Individual
Prefix:
First Name:LESSLEY
Middle Name:
Last Name:MERKLEIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S CAMELLIA ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8444
Mailing Address - Country:US
Mailing Address - Phone:919-618-2427
Mailing Address - Fax:
Practice Address - Street 1:116 S CAMELLIA ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8444
Practice Address - Country:US
Practice Address - Phone:919-618-2427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC217056163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse