Individual
LESLIE ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1006 W MAIN ST, BOZEMAN, MT 59715-3219
(406) 414-4800
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0985222
MN
363LF0000X
Family Nurse Practitioner
Primary
32326
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307513
—
MT
Enumeration date
03/30/2006
Last updated
04/10/2025
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