Individual
MRS. LESLIE LEA SHUGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P
Contact information
Practice address
960 WINDHAM CT STE 1, BOARDMAN, OH 44512-5087
(330) 726-3357
(330) 726-1465
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA10368NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2953719
—
OH
01
—
H237880
MEDICARE PTAN
OH
Enumeration date
04/30/2009
Last updated
01/10/2023
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