Provider Demographics
NPI:1174974182
Name:CALFEE, LEROY THOMAS
Entity type:Individual
Prefix:
First Name:LEROY
Middle Name:THOMAS
Last Name:CALFEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LEROY
Other - Middle Name:THOMAS
Other - Last Name:CALFEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:2850 WESTSIDE DR NW STE A2
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3503
Mailing Address - Country:US
Mailing Address - Phone:423-564-8018
Mailing Address - Fax:423-674-3474
Practice Address - Street 1:2850 WESTSIDE DR NW STE A2
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3503
Practice Address - Country:US
Practice Address - Phone:423-564-8018
Practice Address - Fax:423-674-3474
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21318363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily