NPI 1144995838
Tayell Leftridge, CHW
Practice location
- Address
- 2600 Roosevelt Rd STE 200-6, Valparaiso, IN 46383-0971
- Phone
- (219) 615-0095
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1144995838
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Aug 2021
- Record last updated
- 13 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.