Individual
LESLIE BARBARA WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 NORTH ST, DALTON, MA 01226-1202
(413) 684-2110
(413) 684-1517
Mailing address
33 NORTH ST, DALTON, MA 01226-1202
(413) 684-2110
(413) 684-1517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209631
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2094
BLUE CROSS
MA
Enumeration date
05/20/2006
Last updated
08/14/2013
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