Individual
LESLIE A GASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 E VIRGINIA ST, EVANSVILLE, IN 47711-5530
(812) 777-0127
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104494442
NPI
IN
01
—
71011214A
MEDICAL LICENSE
IN
Enumeration date
06/14/2021
Last updated
05/31/2023
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