MEDICARE: DEYLEN TELFER EARL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN809978	PA
2	163W00000X	Registered Nurse	RN10008919	MA
3	176B00000X	Midwife	MW010888	PA

General Provider Information

NPI Number	:	1760298525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEYLEN TELFER EARL RN

Provider Business Mailing Address
First Line	:	300 HALKET ST STE 5770
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3108
Country	:	US
Telephone Number	:	571-315-7396
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 N COURTHOUSE RD APT 1801
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2520
Country	:	US
Telephone Number	:	571-315-7396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2024
Last Update Date	:	12/18/2025

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