Healthcare Provider Details

I. General information

NPI: 1992752190
Provider Name (Legal Business Name): LESLIE SIEBERT TERNER MS, APRN, CS-P, CRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 HICKORY HILL CT
SILVER SPRING MD
20906-5807
US

IV. Provider business mailing address

19 HICKORY HILL CT
SILVER SPRING MD
20906-5807
US

V. Phone/Fax

Practice location:
  • Phone: 301-461-9427
  • Fax: 301-871-0886
Mailing address:
  • Phone: 301-461-9427
  • Fax: 301-871-0886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR070051
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: