Leitherland Family Care Clinic, PLLC
Organization Active NPI Primary Care Clinic/Center · Dyer, TN
NPI 1376712448 · NPPES record last updated Mar 24, 2008
Key facts
- NPI
- 1376712448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- APN5603 (TN)
- Legal business name
- LEITHERLAND FAMILY CARE CLINIC, PLLC
- Practice address
- 1123 N Main St
Dyer, TN 38330-1019 - Phone
- (731) 692-2853
- Fax
- (731) 692-2367
- NPI assigned
- Feb 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Edna R Leitherland, FNP.C
- Title
- Owner
- Phone
- (731) 692-2853
National Provider Directory
Locations
1123 N Main St
Dyer, TN 38330
Phone (731) 692-2853
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | APN5603 | TN | Yes |
| Primary Care Clinic/Center | 261QP2300X | RN53289 | TN |
Addresses
Primary practice location
1123 N Main St
Dyer, TN 38330-1019
Mailing address
1123 N Main St
Dyer, TN 38330-1019
Phone (731) 692-2853
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S66580 | Other | TN | UPIN |
Other providers in Dyer, TN
- Megan Gordon
- Elyse Hardee
- Derek Holyfield
- Amy Michele Howe
- Nicola Kastner
- Edna R Leitherland
- Lizzie Health Institution
- Ashley Lovell
- Jan Meketi
- John Parramore
All providers in Dyer, TN · Primary Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.