Doctor Name: | LEANNE A DELUCA |
NPI Number: | 1285723007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN00145964 |
Business Practice Address: | 7825 N Sound Dr Sedro Woolley, WA - 982847675 |
Business Phone Number: | 8009037952 |
Business Fax Number: | |
Mailing Address: | 28789 Utopia Rd, SEDRO WOOLLEY |
State: | WA |
Postal Code: | 982848358 |
Phone Number: | 3608549349 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN00145964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |