Individual
LESLIE MESSERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12901 N 63RD AVE, GLENDALE, AZ 85304-1701
(623) 412-4750
(623) 412-4755
Mailing address
15323 W DREYFUS ST, SURPRISE, AZ 85379-8131
(623) 412-4753
(623) 412-4755
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN159636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN159635
ARIZONA RN LICENSE
AZ
Enumeration date
09/14/2015
Last updated
09/14/2015
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