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NPI Code Detail

MEDICARE: LESLIE L. BATTERTON APN

MEDICARE: LESLIE L. BATTERTON APN
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
1363LF0000XFamily Nurse PractitionerA003794AR

General Provider Information

NPI Number : 1477898021
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE L. BATTERTON APN
Provider Business Mailing Address
First Line : 1100 N KENTUCKY AVE
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-2029
Country : US
Telephone Number : 870-625-3228
Fax Number : 870-625-3227
Provider Business Practice Location Address
First Line : 236 MAIN ST
Second Line :
City : MAMMOTH SPRING
State : AR
Zip : 72554-7466
Country : US
Telephone Number : 870-625-3225
Fax Number : 870-625-3227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2012
Last Update Date : 03/19/2015

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