Individual
DR. LESLIE MARIE FILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(803) 895-6425
Mailing address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201805806NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
58600
ID
363LF0000X
Family Nurse Practitioner
APRN4283
HI
Other
Enumeration date
07/19/2018
Last updated
01/07/2025
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