Provider Demographics
NPI:1346434461
Name:LESSLIE, DEBRA L (CNNP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:LESSLIE
Suffix:
Gender:F
Credentials:CNNP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2910 CENTRE POINTE DR
Mailing Address - Street 2:MAIL STOP 35-121A
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1182
Mailing Address - Country:US
Mailing Address - Phone:651-855-2327
Mailing Address - Fax:651-855-2310
Practice Address - Street 1:347 NORTH SMITH AVENUE, 70-505
Practice Address - Street 2:CHILDREN'S SPECIALTY CLINIC NICU
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-220-6210
Practice Address - Fax:651-220-7777
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2011-09-15
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Provider Licenses
StateLicense IDTaxonomies
MNR1583270363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care