Provider Demographics
NPI:1467852467
Name:KIRSCHNER, LESLIE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10029 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-6760
Mailing Address - Country:US
Mailing Address - Phone:440-476-7989
Mailing Address - Fax:440-354-0752
Practice Address - Street 1:20050 HARVARD AVE STE 300
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6800
Practice Address - Country:US
Practice Address - Phone:216-751-1212
Practice Address - Fax:216-991-4587
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16447-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily