Individual
MS. LESLIE CORRINE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
428 6TH AVE, LEWISTON, ID 83501-2355
(208) 263-9757
(208) 965-8128
Mailing address
1327 W SUPERIOR ST STE 101, SANDPOINT, ID 83864-2742
(208) 245-9566
(208) 245-7653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61006462
WA
363L00000X
Nurse Practitioner
NP-1090A
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-1090A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013847
—
WA
Enumeration date
08/03/2011
Last updated
06/16/2023
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