LESLIE ANNE EDGAR N.P. NPI 1992754931

NPI Information

NPI: 1992754931
Provider Name: LESLIE ANNE EDGAR, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
ZIP 46845
Phone: (260) 484-8830
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Leslie Anne Edgar, N.P. is a family nurse practitioner in Fort Wayne, IN. Leslie Anne Edgar, N.P. NPI is 1992754931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
ZIP 46845
Phone: (260) 484-8830

The enumeration date for this NPI number is 5/8/2006 and was last updated on 7/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71000452A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200956210	MEDICAID	INDIANA
2	000000526346	OTHER	INDIANA	ANTHEM PIN
3	3046162	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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