Individual
EDNA R LEITHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP APN
Contact information
Practice address
1123 N MAIN ST, DYER, TN 38330-1019
(731) 692-2853
(731) 692-2367
Mailing address
1123 N MAIN ST, DYER, TN 38330-1019
(731) 692-2853
(731) 692-2367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN5603
TN
363L00000X
Nurse Practitioner
Primary
RN53289
TN
Other
Enumeration date
09/09/2005
Last updated
04/24/2008
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