Edgar, Leslie Anne
Edgar, Leslie Anne is an individual health care provider with primary practice located at 11143 Parkview Plaza Dr Ste 100 , Fort Wayne IN 46845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Edgar, Leslie Anne can be contacted via phone (260) 484-8830.Contact Information
Primary practice address
11143 Parkview Plaza Dr Ste 100
Fort Wayne IN 46845
Phone: (260) 484-8830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000452A | Indiana |
Profile Details
| NPI number | 1992754931 |
|---|---|
| LBN Legal business name | Edgar, Leslie Anne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 12th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992754931 | NPPES |
| Indiana | MEDICAID | 200956210 | |
| Indiana | MEDICAID | 3046162 | |
| Indiana | Other | 000000526346 |
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