Individual
LESLEE A TATUM
Active
Individual
LESLEE A TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28164251A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71004032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000806999
ANTHEM PTAN
IN
01
—
000000844568
ANTHEM PTAN
IN
01
—
000000864048
ANTHEM PTAN
IN
01
—
000001341106
ANTHEM PTAN
IN
01
—
1102230356
ANTHEM PTAN
IN
05
—
201135070
—
IN
01
—
Q00013262
RAILROAD PTAN
IN
Enumeration date
06/12/2012
Last updated
02/18/2025
Update your record
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