Individual
LESLEE RONALD ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1055 N 500 W, STE 211, PROVO, UT 84604-3305
(801) 357-7327
(801) 375-8860
Mailing address
4019 W 12600 S, STE 120, RIVERTON, UT 84096-7405
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0175720
CO
363LF0000X
Family Nurse Practitioner
Primary
330534-4405
UT
363LF0000X
Family Nurse Practitioner
APN.0991951-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03400255
—
CO
Enumeration date
09/04/2015
Last updated
08/31/2021
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