Healthcare Provider Details

I. General information

NPI: 1659382612
Provider Name (Legal Business Name): LESLIE TUCHMANN CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KASEMAN HOSPITAL PALLIATIVE CARE 8300 CONSTITUTION AVENUE NE
ALBUQUERQUE NM
87110
US

IV. Provider business mailing address

6100 UPTOWN BLVD NE STE 650
ALBUQUERQUE NM
87110-4186
US

V. Phone/Fax

Practice location:
  • Phone: 505-559-1133
  • Fax: 505-724-8995
Mailing address:
  • Phone: 505-340-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberCNS00188
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code364SH1100X
TaxonomyHolistic Clinical Nurse Specialist
License NumberCNS00212176
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberCNS00188
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: