Provider Demographics
NPI:1275974362
Name:PARMANN, LESLEY (RN)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:
Last Name:PARMANN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42954 CALLE CRISTAL
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3003
Mailing Address - Country:US
Mailing Address - Phone:904-803-6419
Mailing Address - Fax:
Practice Address - Street 1:42954 CALLE CRISTAL
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-3003
Practice Address - Country:US
Practice Address - Phone:904-803-6419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA818621163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse