Fisher, Leslye Gwen

Fisher, Leslye Gwen is an individual health care provider with primary practice located at 362 W 15Th St , Indianapolis IN 46202-2266. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fisher, Leslye Gwen can be contacted via phone (317) 948-5450.

Contact Information

Primary practice address
362 W 15Th St Indianapolis IN 46202-2266
Phone: (317) 948-5450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X 28195315A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71008072A Indiana

Profile Details

NPI number 1073021556
LBN Legal business name Fisher, Leslye Gwen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated Jan 18th, 2024 - about last year

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 1073021556 NPPES
Indiana MEDICAID 300016348
Indiana Other 262210037

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