Provider Demographics
NPI:1366513640
Name:STAPLETON, LESLIE MARIE (RNC, MSN, NP)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:MARIE
Last Name:STAPLETON
Suffix:
Gender:F
Credentials:RNC, MSN, NP
Other - Prefix:MISS
Other - First Name:LESLIE
Other - Middle Name:MARIE
Other - Last Name:AYDELOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 SW 16TH ST
Mailing Address - Street 2:STE 121
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2697
Mailing Address - Country:US
Mailing Address - Phone:206-805-8886
Mailing Address - Fax:
Practice Address - Street 1:20696 BOND RD NE # C205
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9015
Practice Address - Country:US
Practice Address - Phone:360-930-3100
Practice Address - Fax:360-633-3137
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP603368019363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5282OtherNURSE PRACTITIONER FURNIS
CA5282OtherNURSE PRACTITIONER CERTIF
CA392730OtherRN
WAAP 60368019OtherARNP
WARN 60368017OtherRN
WAAP 60368019OtherARNP