Provider Demographics
NPI:1760298525
Name:EARL, DEYLEN TELFER (RN)
Entity type:Individual
Prefix:
First Name:DEYLEN
Middle Name:TELFER
Last Name:EARL
Suffix:
Gender:U
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 N COURTHOUSE RD APT 1801
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2520
Mailing Address - Country:US
Mailing Address - Phone:571-315-7396
Mailing Address - Fax:
Practice Address - Street 1:1301 N COURTHOUSE RD APT 1801
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2520
Practice Address - Country:US
Practice Address - Phone:571-315-7396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN10008919163W00000X
TN274370163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse