Individual
KATHRYN LESIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
120 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
(252) 209-0237
(252) 209-0197
Mailing address
PO BOX 669, AHOSKIE, NC 27910-0669
(252) 209-0237
(252) 209-0197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004080
NC
363L00000X
Nurse Practitioner
R50265
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20184263
—
NM
Enumeration date
08/25/2005
Last updated
02/03/2020
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