Provider Demographics
NPI:1023231750
Name:LEPORIS, ANNETTE GAUTHIER
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:GAUTHIER
Last Name:LEPORIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANNETTE
Other - Middle Name:GAUTHIER
Other - Last Name:OBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 DUPONT CIR
Mailing Address - Street 2:APT # 42
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2937
Mailing Address - Country:US
Mailing Address - Phone:704-308-8292
Mailing Address - Fax:
Practice Address - Street 1:500 DUPONT CIR
Practice Address - Street 2:APT # 42
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2937
Practice Address - Country:US
Practice Address - Phone:704-308-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker