# NICOLE ALYCE LESANTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306185046
- **Gender:** F
- **Credential:** PNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | NP95000968 | CA | — |
| 363LP0200X | Pediatric Nurse Practitioner | NPP37735 | RI | — |
| 363LP0200X | Pediatric Nurse Practitioner | RN2264257 | MA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NPP95000968 | CA | — |

## Other

- **Enumeration date:** 01/31/2013
- **Last updated:** 07/18/2017