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NPI Code Detail

MEDICARE: LESLIE A TOVAR-MANZO CRNA

MEDICARE: LESLIE A TOVAR-MANZO CRNA
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
1367500000XCertified Registered Nurse Anesthetist124934AR

General Provider Information

NPI Number : 1154219988
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE A TOVAR-MANZO CRNA
Provider Business Mailing Address
First Line : 300 WERNER ST
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6406
Country : US
Telephone Number : 501-622-1000
Fax Number :
Provider Business Practice Location Address
First Line : 300 WERNER ST
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6406
Country : US
Telephone Number : 501-622-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2025
Last Update Date : 12/08/2025

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Directions to “ LESLIE A TOVAR-MANZO CRNA” Practice Location

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