NPI 1013193457 · live from the CMS NPI Registry
Leslie M Antonelli, MSN, RN
Nurse Practitioner, Pediatrics in Greenwood, IN. National Provider Identifier 1013193457, active.
NPI record
| NPI | 1013193457 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1703 W Stones Crossing Rd Ste 330, Greenwood, IN 46143 |
| Practice phone | 317-887-6060 |
| Mailing address | Po Box 781076, Detroit, MI 48278 |
| Enumerated | January 16, 2008 |
| Last updated | May 19, 2025 |
| Sole proprietor | No |
| Other names | Leslie Peters |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28154154A (IN) |
| Nurse Practitioner, Neonatal | 363LN0000X | 71002959A (IN) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 71002959A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.