Provider Demographics
NPI:1376934620
Name:ARBOUR, LESLEY MAY (MS, RN)
Entity Type:Individual
Prefix:MS
First Name:LESLEY
Middle Name:MAY
Last Name:ARBOUR
Suffix:
Gender:F
Credentials:MS, RN
Other - Prefix:MRS
Other - First Name:LESLEY
Other - Middle Name:MAY
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RN
Mailing Address - Street 1:2880 KALMIA AVENUE
Mailing Address - Street 2:#108
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5917
Mailing Address - Country:US
Mailing Address - Phone:720-334-2916
Mailing Address - Fax:
Practice Address - Street 1:2880 KALMIA AVENUE
Practice Address - Street 2:#108
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-5917
Practice Address - Country:US
Practice Address - Phone:720-334-2916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN0150904163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management