MRS. LESLIE DIANE PUTNAM APRN FNP-C NPI 1922550060

NPI Information

NPI: 1922550060
Provider Name: MRS. LESLIE DIANE PUTNAM, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1055 N 500 W STE 205
PROVO, UT
ZIP 84604
Phone: (801) 429-8095
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MRS. Leslie Diane Putnam, APRN, FNP-C is a family nurse practitioner in Provo, UT. MRS. Leslie Diane Putnam, APRN, FNP-C NPI is 1922550060. 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:

1055 N 500 W STE 205
PROVO, UT
ZIP 84604-305
Phone: (801) 429-8095
Fax: (801) 354-8265

The NPI 1922550060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 7/22/2019.

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	217006-4405	UTAH	Yes

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: 11/14/2023

NPI Synchronization or Removal

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