Individual
LESLIE ANNE BUBLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 WALNUT ST, WATERTOWN, MA 02472-4054
(888) 897-1887
Mailing address
101 WALNUT ST, WATERTOWN, MA 02472-4054
(888) 897-1887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.0032692
OH
363LF0000X
Family Nurse Practitioner
Primary
RN2296034
MA
Other
Enumeration date
06/26/2018
Last updated
08/22/2024
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