Provider Demographics
NPI:1336102185
Name:FOX, LEANA ANITA (RN)
Entity Type:Individual
Prefix:MISS
First Name:LEANA
Middle Name:ANITA
Last Name:FOX
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:4 LITTLE BIG HORN ST
Mailing Address - Street 2:
Mailing Address - City:FORT IRWIN
Mailing Address - State:CA
Mailing Address - Zip Code:92310-1770
Mailing Address - Country:US
Mailing Address - Phone:760-380-5399
Mailing Address - Fax:760-380-6294
Practice Address - Street 1:BOX 105109
Practice Address - Street 2:U.S. ARMY MEDICAL ACTIVITY
Practice Address - City:FORT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310
Practice Address - Country:US
Practice Address - Phone:760-380-3116
Practice Address - Fax:760-380-6294
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI127011163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator