Provider Demographics
NPI:1861683674
Name:NEIMAN, LETICIA (RN,MA)
Entity Type:Individual
Prefix:MRS
First Name:LETICIA
Middle Name:
Last Name:NEIMAN
Suffix:
Gender:F
Credentials:RN,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5655 STAR VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6428
Mailing Address - Country:US
Mailing Address - Phone:915-252-9225
Mailing Address - Fax:
Practice Address - Street 1:5655 STAR VIEW DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6428
Practice Address - Country:US
Practice Address - Phone:915-252-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX552478163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator