Provider Demographics
NPI:1235478827
Name:MUSE, LESLIE E (RD)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:E
Last Name:MUSE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14871 HARVEST KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-8303
Mailing Address - Country:US
Mailing Address - Phone:317-443-5059
Mailing Address - Fax:317-747-7471
Practice Address - Street 1:14871 HARVEST KNOLL CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-8303
Practice Address - Country:US
Practice Address - Phone:317-443-5059
Practice Address - Fax:317-747-7471
Is Sole Proprietor?:No
Enumeration Date:2013-02-03
Last Update Date:2013-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic