Individual
MRS. LESLIE DIANE PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1055 N 500 W STE 205, PROVO, UT 84604-3305
(801) 429-8095
(801) 354-8265
Mailing address
1905 S VINCENT RIDGE DR, SPANISH FORK, UT 84660-8527
(801) 518-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217006-4405
UT
Other
Enumeration date
10/25/2016
Last updated
07/22/2019
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