Provider Demographics
NPI:1740706233
Name:TELFORD, LEANN MARIE (RN/BSN)
Entity type:Individual
Prefix:
First Name:LEANN
Middle Name:MARIE
Last Name:TELFORD
Suffix:
Gender:F
Credentials:RN/BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4229 WINTERGREEN CIR APT 147
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-7124
Mailing Address - Country:US
Mailing Address - Phone:360-303-9128
Mailing Address - Fax:
Practice Address - Street 1:4229 WINTERGREEN CIR APT 147
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-7124
Practice Address - Country:US
Practice Address - Phone:360-303-9158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00171372163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health