Provider Demographics
NPI:1588204465
Name:BATTLES, LESLIE ORR (CNP)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ORR
Last Name:BATTLES
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 1:410 S PARK DR
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:OK
Mailing Address - Zip Code:74728-4742
Mailing Address - Country:US
Mailing Address - Phone:580-584-6888
Mailing Address - Fax:580-584-6300
Practice Address - Street 1:410 S PARK DR
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:OK
Practice Address - Zip Code:74728-4742
Practice Address - Country:US
Practice Address - Phone:580-584-6300
Practice Address - Fax:580-584-6300
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK61859163WX0003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient