Healthcare Provider Details

I. General information

NPI: 1174247985
Provider Name (Legal Business Name): DINA KAY LEFEBVRE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 MORGANTOWN ST
KINGWOOD WV
26537-1095
US

IV. Provider business mailing address

101 KENDRICK RD
HOUTZDALE PA
16651-8102
US

V. Phone/Fax

Practice location:
  • Phone: 304-329-3565
  • Fax:
Mailing address:
  • Phone: 814-569-7443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberWV109473
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: