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NPI Code Detail

MEDICARE: LESLEY ANNE FRIEDMAN ACNP

MEDICARE: LESLEY ANNE FRIEDMAN ACNP
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
1363L00000XNurse Practitioner750040TX

General Provider Information

NPI Number : 1619112521
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY ANNE FRIEDMAN ACNP
Provider Business Mailing Address
First Line : 1100 ALLIED DR
Second Line :
City : PLANO
State : TX
Zip : 75093-5348
Country : US
Telephone Number : 214-412-7465
Fax Number :
Provider Business Practice Location Address
First Line : 1100 ALLIED DR
Second Line :
City : PLANO
State : TX
Zip : 75093-5348
Country : US
Telephone Number : 214-412-7465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2008
Last Update Date : 01/23/2013

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Directions to “ LESLEY ANNE FRIEDMAN ACNP” Practice Location

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