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LESLIE KRISTINE CANFIELD CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891921250

Individual Registrant:
 LESLIE KRISTINE CANFIELD CRNP
Gender: F
Sole Proprietor

Location and contact information for practice:
145 KATHERINE AVE  OZARK, AL 36360-1976 US
Tel: 334-774-5100  Fax: 334-774-5110

Contact information for business:
145 KATHERINE AVE  OZARK, AL 36360-1976 US
Tel: 334-774-5100  Fax: 334-774-5110

Registration Information:
NPI: 1891921250
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-066627

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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