Rogers, Leslie Corrine

Rogers, Leslie Corrine is an individual health care provider with primary practice located at 428 6Th Ave , Lewiston ID 83501-2355. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rogers, Leslie Corrine can be contacted via phone (208) 263-9757.

Contact Information

Primary practice address
428 6Th Ave Lewiston ID 83501-2355
Phone: (208) 263-9757
Fax: (208) 965-8128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-1090A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1090A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61006462 Washington

Profile Details

NPI number 1134407489
LBN Legal business name Rogers, Leslie Corrine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Jun 16th, 2023 - 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 1134407489 NPPES
Washington MEDICAID 2013847

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