Leeann M Fore, RN

Individual provider Active NPI Registered Nurse · Foresthill, CA

NPI 1336470145 · NPPES record last updated Jan 18, 2010

Key facts

NPI
1336470145
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
734983 (CA)
Practice address
5426 Cold Springs Dr
Foresthill, CA 95631-9203
Phone
(530) 367-4494
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
734983CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 734983 CA Yes

Addresses

Primary practice location

5426 Cold Springs Dr
Foresthill, CA 95631-9203

Mailing address

5426 Cold Springs Dr
Foresthill, CA 95631-9203
Phone (530) 367-4494

Other providers in Foresthill, CA

All providers in Foresthill, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.