Shortridge, Leslie Ann

Shortridge, Leslie Ann is an individual health care provider with primary practice located at 1815 14Th Ave Se , Albany OR 97322-8502. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shortridge, Leslie Ann can be contacted via phone (541) 547-1369.

Contact Information

Primary practice address
1815 14Th Ave Se Albany OR 97322-8502
Phone: (541) 547-1369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201605969NP-PP Oregon
Nursing Service Providers / Registered Nurse 163W00000X 089006788RN Oregon

Profile Details

NPI number 1861799165
LBN Legal business name Shortridge, Leslie Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2011
Last updated Nov 13th, 2020 - about 4 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 1861799165 NPPES
Oregon Other 089006788RN OR NURSING LICENSE
Oregon Other 201605969NP-PP OR NURSING LICENSE

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