Individual provider · NPI-1
Leslie Rasch, NP-C
Nurse Practitioner, Family · St. George, UT
NPI number1962784504
StatusActive
Last updated in NPPESMay 6, 2013
Details
- NPI
- 1962784504
- Entity type
- Individual (NPI-1)
- Name
- Leslie Rasch
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2011
- Last updated
- May 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 272113-4405 | UT | Yes |
Practice location
1380 East Medical DriveDixie Regional Medical Center Palliative Care
St. George, UT 84790
Phone 435-251-2474 · Fax 435-251-2475
Mailing address
Po Box 38091384 West 400 South
Leamington, UT 84638-0091
Phone 435-253-0438
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