Provider Demographics
NPI:1861190282
Name:AARON, LESLIE SHERIAL
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:SHERIAL
Last Name:AARON
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 1:330 E LIBERTY ST LOWR 330E330E
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2274
Mailing Address - Country:US
Mailing Address - Phone:810-626-8156
Mailing Address - Fax:
Practice Address - Street 1:330 E LIBERTY ST LOWR 330E330E
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2274
Practice Address - Country:US
Practice Address - Phone:810-626-8156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker