Healthcare Provider Details

I. General information

NPI: 1386807147
Provider Name (Legal Business Name): LEANA LE TURNER RN-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEANA L ELLIOTT RN-FNP

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 06/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 JAMES COLEMAN DRIVE SUITE A
VICTORIA TX
77904
US

IV. Provider business mailing address

202 JAMES COLEMAN DRIVE SUITE A
VICTORIA TX
77904
US

V. Phone/Fax

Practice location:
  • Phone: 361-573-4000
  • Fax: 361-485-0672
Mailing address:
  • Phone: 361-573-4000
  • Fax: 361-485-0672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP117033
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: