Healthcare Provider Details

I. General information

NPI: 1275920217
Provider Name (Legal Business Name): LESLIE KATHERINE MAYS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 09/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 COUNTRY CLUB DR.
CARSON CITY NV
89703
US

IV. Provider business mailing address

1008 RIVERVIEW DR.
GARDNERVILLE NV
89460
US

V. Phone/Fax

Practice location:
  • Phone: 775-884-3990
  • Fax: 775-885-7740
Mailing address:
  • Phone: 775-722-9218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberAPRN001883
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: