Individual
LESLIE ANN RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4712 WOODROW BEAN STE A, EL PASO, TX 79924-4432
(915) 751-1133
Mailing address
4712 WOODROW BEAN STE A, EL PASO, TX 79924-4432
(915) 751-1133
(915) 751-1125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
297984
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1089363
TX
Other
Enumeration date
06/17/2021
Last updated
02/21/2023
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