Individual
LESLEY ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61963
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61274038
—
NM
Enumeration date
11/05/2020
Last updated
03/04/2025
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