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NPI Code Detail

MEDICARE: LESLIE HAMM SIVLEY CRNA

MEDICARE: LESLIE HAMM SIVLEY 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 Anesthetist901733MS

General Provider Information

NPI Number : 1578231593
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE HAMM SIVLEY CRNA
Provider Business Mailing Address
First Line : 3001 OLD TAYLOR RD UNIT 403
Second Line :
City : OXFORD
State : MS
Zip : 38655-5638
Country : US
Telephone Number : 662-397-2829
Fax Number :
Provider Business Practice Location Address
First Line : 1100 BELK BLVD
Second Line :
City : OXFORD
State : MS
Zip : 38655-5242
Country : US
Telephone Number : 662-636-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2021
Last Update Date : 06/09/2026

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Directions to “ LESLIE HAMM SIVLEY CRNA” Practice Location

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