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Individual
MRS. LESLIE ANNE BROUILLETTE
Active
Individual
MRS. LESLIE ANNE BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
529152
CA
163WC1500X
Community Health Registered Nurse
529152
CA
163WL0100X
Lactation Consultant (Registered Nurse)
529152
CA
163WM0102X
Maternal Newborn Registered Nurse
529152
CA
163WP0200X
Pediatric Registered Nurse
529152
CA
163WP1700X
Perinatal Registered Nurse
529152
CA
163WX0002X
High-Risk Obstetric Registered Nurse
529152
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95001265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95001265
STATE MEDICAL LICENSE
CA
Enumeration date
09/22/2008
Last updated
03/07/2023
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