Individual
LESLIE N PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1205 W BROADWAY, COLUMBIA, MO 65203-2125
(573) 499-0642
(573) 449-1787
Mailing address
1205 W BROADWAY, COLUMBIA, MO 65203-2125
(573) 499-0642
(573) 449-1787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2010042398
MO
Other
Enumeration date
10/14/2010
Last updated
10/05/2022
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