Individual
LESLIE OLESZKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 449-1010
(843) 497-6171
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19417
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1190167
WELLCARE
FL
01
—
1190167
WELLCARE
SC
05
—
1497142863
—
NC
01
—
30237547
SELECT HEALTH
SC
01
—
4746306
AETNA
SC
01
—
5637428
UNITED HEALTHCARE
SC
01
—
80064208
SELECT HEALTH
SC
05
—
NP3429
—
SC
01
—
P01565762
RR MEDICARE
SC
Enumeration date
04/22/2015
Last updated
12/29/2016
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