Individual
MRS. LESLIE SIEBERT TERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, APRN, CS-P, CRS
Contact information
Practice address
19 HICKORY HILL CT, SILVER SPRING, MD 20906-5807
(301) 461-9427
(301) 871-0886
Mailing address
19 HICKORY HILL CT, SILVER SPRING, MD 20906-5807
(301) 461-9427
(301) 871-0886
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R070051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11250710
CAQH
—
05
—
131502100
—
MD
01
—
170240000
MAGELLAN
—
01
—
489331
VALUE OPTIONS
—
01
—
708595
NCPPO
—
01
—
7490026
AETNA
—
01
—
M4010001
BLUES
—
Enumeration date
05/31/2006
Last updated
09/21/2011
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