Individual
MRS. LESLEY NICOLE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W MAIN ST, BRANFORD, CT 06405-3416
(203) 483-7778
(203) 481-0234
Mailing address
400 W MAIN ST, BRANFORD, CT 06405-3416
(203) 483-7778
(203) 481-0234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5995
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057120
—
CT
Enumeration date
12/01/2014
Last updated
04/10/2023
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