Individual
LESLEY MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13163 66TH ST N, LARGO, FL 33773
(727) 228-7000
(727) 223-3614
Mailing address
13163 66TH ST N, LARGO, FL 33773
(727) 228-7000
(727) 223-3614
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9368654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009555900
—
FL
Enumeration date
09/06/2013
Last updated
04/10/2023
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