Individual
MS. LESLEY ANN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNPC
Contact information
Practice address
22 S. GREENE ST, GREENEBAUM CANCER CENTER, STE 9-D, BALTIMORE, MD 21201
(410) 328-7609
Mailing address
207 E 23RD ST, BALTIMORE, MD 21218-5810
(210) 326-6389
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
533575
TX
363L00000X
Nurse Practitioner
Primary
R211676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177644504
—
TX
Enumeration date
10/21/2005
Last updated
08/02/2019
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