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NPI Code Detail

MEDICARE: MS. LESLIE M ROEBUCK FNP-C, FNP-BC

MEDICARE:  MS. LESLIE M ROEBUCK  FNP-C, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95304355CA
2363LF0000XFamily Nurse Practitioner95038400CA

General Provider Information

NPI Number : 1386509065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE M ROEBUCK FNP-C, FNP-BC
Provider Business Mailing Address
First Line : 78206 VARNER RD STE D
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4136
Country : US
Telephone Number : 949-414-5486
Fax Number :
Provider Business Practice Location Address
First Line : 78206 VARNER RD STE D
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4136
Country : US
Telephone Number : 949-414-5486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 02/09/2026

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Directions to “ MS. LESLIE M ROEBUCK FNP-C, FNP-BC” Practice Location

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