Individual
MRS. LESLIE WILHITE IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
888 TARA BLVD, SUITE F, BATON ROUGE, LA 70806-7818
(225) 273-5995
(225) 273-7475
Mailing address
888 TARA BLVD, SUITE F, BATON ROUGE, LA 70806-7818
(225) 273-5995
(225) 273-7475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN151639
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP08761
LA
Other
Enumeration date
10/10/2013
Last updated
08/05/2016
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