Provider Demographics
NPI:1972714418
Name:ROBBINS, LESLIE KAYE (PHD, CNP, CNS)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:KAYE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PHD, CNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 SOLARRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-7797
Mailing Address - Country:US
Mailing Address - Phone:575-382-0659
Mailing Address - Fax:
Practice Address - Street 1:3317 SOLARRIDGE ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-7797
Practice Address - Country:US
Practice Address - Phone:575-382-0659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR29079363LP0808X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1972714418OtherBLUE CROSS BLUE SHIELD