Leslie A Dork CNP

NPI 1790703361 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1790703361
Gender Female
Enumeration Date 07/18/2006
Last Updated 03/30/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3821 MASTHEAD ST NE
ALBUQUERQUE NM, 87109-4679, US
Phone (505) 998-7400
Fax (505) 998-7741
Business Location
3821 MASTHEAD ST NE
ALBUQUERQUE NM, 87109-4679, US
Phone (505) 998-7400
Fax (505) 998-7741
Toxanomy
Taxonomy Code 363LA2200X
License State New Mexico
License Number R33302
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According to our database, Mrs. Leslie A Dork CNP NPI is 1790703361, taxonomy code is 363LA2200X and license number is R33302, license state is located at New Mexico. Leslie A Dork CNP physically located at 3821 Masthead St Ne, Albuquerque NM, 87109-4679. NPI Number Leslie A Dork CNP has the Individual type.

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1790703361 NPI number is provided on an as is basis without warranty of any kind. 1790703361 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie A Dork CNP are for informational purposes only.