Individual
LESLIE NICOLE AVALOS
Active
Individual
LESLIE NICOLE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R238033-3
MN
367500000X
Certified Registered Nurse Anesthetist
209034414
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
2627
MN
Other
Enumeration date
06/03/2021
Last updated
06/15/2026
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