Kate Marie Leslie, APRN/CNP
Nurse Practitioner, Family in Hayward, WI. Individual provider (NPI-1).
NPI number1669964565
StatusActive
Last updated in NPPESJun 6, 2018
Details
- NPI
- 1669964565
- Entity type
- Individual (NPI-1)
- Name
- Kate Marie Leslie
- Credential
- APRN/CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2018
- Last updated
- Jun 6, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 233825 | WI | Yes |
Practice location
11134 N State Road 77Hayward, WI 54843-5325
Phone 715-634-5505 · Fax 715-634-5558
Mailing address
400 East Third Street Mcl2credDuluth, MN 55805-1951
Phone 218-786-3146 · Fax 218-722-8792
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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