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Individual

MRS. LESLIE SHANNON DREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-5630
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
547245
TX
363LA2200X
Adult Health Nurse Practitioner
5515
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96190604
TX
Enumeration date
03/16/2006
Last updated
08/16/2023
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