Doctor Name: | MICHELE DENISE LEBLANC |
NPI Number: | 1396016762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | 99629 |
Business Practice Address: | 111 Edgartown Road Oak Bluffs, MA - 02557 |
Business Phone Number: | 5086937900 |
Business Fax Number: | 5086960401 |
Mailing Address: | 111 Edgartown Road, VINEYARD HAVEN |
State: | MA |
Postal Code: | 02568 |
Phone Number: | 5086937900 |
Fax Number: | 5086960401 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 99629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |