Theriault, Leah Jean

Theriault, Leah Jean is an individual health care provider with primary practice located at 819 Harbor Is , Clearwater FL 33767-1807. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Theriault, Leah Jean can be contacted via phone (772) 708-4310.

Contact Information

Primary practice address
819 Harbor Is Clearwater FL 33767-1807
Phone: (772) 708-4310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN579293 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9307894 Florida

Profile Details

NPI number 1225269939
LBN Legal business name Theriault, Leah Jean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2009
Last updated Feb 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225269939 NPPES
Florida Other G00KR BCBS OF FL
Florida MEDICAID 002866300 BCBS OF FL
Florida Other DH280W BCBS OF FL

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