Provider Demographics
NPI:1306975214
Name:LEFFLER, THERESE MARIE (MSN RN APRNBC)
Entity type:Individual
Prefix:
First Name:THERESE
Middle Name:MARIE
Last Name:LEFFLER
Suffix:
Gender:F
Credentials:MSN RN APRNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 SPRINGBORO WEST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45439
Mailing Address - Country:US
Mailing Address - Phone:937-293-7770
Mailing Address - Fax:937-293-9982
Practice Address - Street 1:333 CONOVER DRIVE
Practice Address - Street 2:SUITE H
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005
Practice Address - Country:US
Practice Address - Phone:937-746-8795
Practice Address - Fax:937-746-7062
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP083212083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine