Individual
LESLIE D DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10021 DUPONT CIRCLE COURT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Mailing address
10021 DUPONT CIRCLE COURT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173579A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004099A
IN
Other
Enumeration date
07/27/2012
Last updated
08/27/2012
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