Leslie Anne Russell
Licensed Practical Nurse in Erie, PA. Individual provider (NPI-1).
NPI number1285890533
StatusActive
Last updated in NPPESAug 5, 2008
Details
- NPI
- 1285890533
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leslie Anne Russell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2008
- Last updated
- Aug 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN279110 | PA | Yes |
Other names
- Leslie Anne Agens (Former Name)
Practice location
1310 Silverwood LnErie, PA 16505-5208
Phone 814-838-4252
Mailing address
1310 Silverwood LnErie, PA 16505-5208
Phone 814-838-4252
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