Provider Demographics
NPI:1326078692
Name:ABRAMS, LESLIE REBECCA (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:REBECCA
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 OAKHURST PL
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-1717
Mailing Address - Country:US
Mailing Address - Phone:650-380-8547
Mailing Address - Fax:
Practice Address - Street 1:299 OAKHURST PL
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-1717
Practice Address - Country:US
Practice Address - Phone:650-380-8547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 12843; RN 585653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily