Provider Demographics
NPI:1245650415
Name:MORSE, LEANNE MICHELE
Entity type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:MICHELE
Last Name:MORSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 RENTSCHLER LN
Mailing Address - Street 2:
Mailing Address - City:TOPPENISH
Mailing Address - State:WA
Mailing Address - Zip Code:98948-1100
Mailing Address - Country:US
Mailing Address - Phone:509-865-7630
Mailing Address - Fax:509-865-5116
Practice Address - Street 1:706 RENTSCHLER LN
Practice Address - Street 2:
Practice Address - City:TOPPENISH
Practice Address - State:WA
Practice Address - Zip Code:98948-1100
Practice Address - Country:US
Practice Address - Phone:509-865-7630
Practice Address - Fax:509-865-5116
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker