Doctor Name: | SERAPHINE LEUNKAM |
NPI Number: | 1740592989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R147780 |
Business Practice Address: | 12150 Annapolis Rd Suite 200 Glenn Dale, MD - 207699183 |
Business Phone Number: | 3014643682 |
Business Fax Number: | 3014643684 |
Mailing Address: | 12150 Annapolis Rd, Suite 200 GLENN DALE |
State: | MD |
Postal Code: | 207699183 |
Phone Number: | 3014643682 |
Fax Number: | 3014643684 |
NPI Enumeration Date: | 07/03/2010 |
NPI Last Update Date: | 07/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2100X |
License Number: | R147780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |