Stefanowicz, Leslie Ann

Stefanowicz, Leslie Ann is an individual health care provider with primary practice located at 75 Brandt Ave , Dartmouth MA 02747-2405. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stefanowicz, Leslie Ann can be contacted via phone (508) 994-0120.

Contact Information

Primary practice address
75 Brandt Ave Dartmouth MA 02747-2405
Phone: (508) 994-0120
Fax: (508) 996-9636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 233927 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 233927 Massachusetts

Profile Details

NPI number 1639159783
LBN Legal business name Stefanowicz, Leslie Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated May 28th, 2024 - about 4 months 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 1639159783 NPPES
Massachusetts MEDICAID 0383350

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