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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992754931 NPPES
Indiana MEDICAID 200956210
Indiana MEDICAID 3046162
Indiana Other 000000526346

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