Provider Demographics
NPI:1568864031
Name:LESCH, NATHAN JAMES (MSN, RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:JAMES
Last Name:LESCH
Suffix:
Gender:M
Credentials:MSN, RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:2753 GLADIOLUS LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233-3901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:148 E 38TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2607
Practice Address - Country:US
Practice Address - Phone:844-359-8363
Practice Address - Fax:833-955-3592
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1043889967261QM2500X
CT1992372403261QM2500X
NJ1992372403261QM2500X
CANP95019560363L00000X
CT10399363L00000X
NJ26NJ01300300363L00000X
TXAP126436363LF0000X
COC-APN.0003297-C-NP363LF0000X
NYF34922701363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily