Provider Demographics
NPI:1497407282
Name:PARRAN, LESLIE SUSAN (RN, FDN-P, NBC-HWC)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:SUSAN
Last Name:PARRAN
Suffix:
Gender:F
Credentials:RN, FDN-P, NBC-HWC
Other - Prefix:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8784 BOULDER RISE
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-2419
Mailing Address - Country:US
Mailing Address - Phone:612-389-8991
Mailing Address - Fax:
Practice Address - Street 1:8784 BOULDER RISE
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-2419
Practice Address - Country:US
Practice Address - Phone:612-389-8991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
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