Healthcare Provider Details

I. General information

NPI: 1912026626
Provider Name (Legal Business Name): KAREN JAFFE LEFLER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MARYLAND HEALTH CTR CAMPUS DRIVE BLDG 140
COLLEGE PARK MD
20742-0001
US

IV. Provider business mailing address

2721 WOODEDGE RD
SILVER SPRING MD
20906-5329
US

V. Phone/Fax

Practice location:
  • Phone: 301-314-8198
  • Fax: 301-314-3596
Mailing address:
  • Phone: 301-946-9227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR056833
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: