Individual
MRS. LESLIE GAYLE WILDHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
(501) 257-6810
Mailing address
4300 W 7TH ST, SLOT 112, LITTLE ROCK, AR 72205-5446
(501) 257-1000
(501) 257-6810
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01338
AR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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