Provider Demographics
NPI:1386071363
Name:CARR, LESLIE GAIL
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:GAIL
Last Name:CARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N. HANOVER ST.
Mailing Address - Street 2:SADLER HEALTH CENTER - NURSE - FAMILY PARTNERSHIP
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013
Mailing Address - Country:US
Mailing Address - Phone:717-609-9204
Mailing Address - Fax:
Practice Address - Street 1:100 N. HANOVER ST.
Practice Address - Street 2:SADLER HEALTH CENTER - NURSE - FAMILY PARTNERSHIP
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013
Practice Address - Country:US
Practice Address - Phone:717-609-9204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN235710L163WH0200X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn