Provider Demographics
NPI:1700026044
Name:LEIFER, NORMA JEAN (RN)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:JEAN
Last Name:LEIFER
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:STUDENT HEALTH SERVICE UCSB
Mailing Address - Street 2:BUILDING 588, UCSB
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-7002
Mailing Address - Country:US
Mailing Address - Phone:805-893-3087
Mailing Address - Fax:805-893-4911
Practice Address - Street 1:STUDENT HEALTH SERVICE UCSB
Practice Address - Street 2:BUILDING 588, UCSB
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-7002
Practice Address - Country:US
Practice Address - Phone:805-893-3087
Practice Address - Fax:805-893-4911
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA553145163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health