Provider Demographics
NPI:1497553564
Name:DEAR, TENDER LEIGH (RN)
Entity type:Individual
Prefix:
First Name:TENDER
Middle Name:LEIGH
Last Name:DEAR
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:TENDER
Other - Middle Name:LEIGH
Other - Last Name:MCINNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:691 RESERVOIR LOOP RD
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-8938
Mailing Address - Country:US
Mailing Address - Phone:214-893-4670
Mailing Address - Fax:
Practice Address - Street 1:2811 TIETON DR
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3761
Practice Address - Country:US
Practice Address - Phone:214-893-4670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1025704163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse