Provider Demographics
NPI:1285860247
Name:ADAMS, LEAH TEAUNNA (RN)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:TEAUNNA
Last Name:ADAMS
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 1:2303 MAPLEWOOD TRL.
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034
Mailing Address - Country:US
Mailing Address - Phone:262-416-8242
Mailing Address - Fax:817-576-3595
Practice Address - Street 1:2303 MAPLEWOOD TRL.
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034
Practice Address - Country:US
Practice Address - Phone:262-416-8242
Practice Address - Fax:817-576-3595
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX864326163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse