Individual
MS. LESLI ELLEN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
001533
NY
367A00000X
Advanced Practice Midwife
Primary
RN281104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03560267
—
NY
Enumeration date
05/29/2008
Last updated
07/21/2022
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