NPI 1356972665 · live from the CMS NPI Registry
Leslie Erica Rodriguez, NP-C
Nurse Practitioner, Pediatrics in Grand Forks, ND. National Provider Identifier 1356972665, active.
NPI record
| NPI | 1356972665 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1380 S Columbia Rd, Grand Forks, ND 58201 |
| Practice phone | 701-780-6110 |
| Mailing address | 2401 Demers Ave, Grand Forks, ND 58201 |
| Enumerated | January 27, 2020 |
| Last updated | January 27, 2020 |
| Sole proprietor | No |
| Other names | Leslie Lunn |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | R40504 (ND) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R40504 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.