Provider Demographics
NPI:1811542665
Name:ESTRIPLET, LESLY (NP/PA)
Entity Type:Individual
Prefix:
First Name:LESLY
Middle Name:
Last Name:ESTRIPLET
Suffix:
Gender:M
Credentials:NP/PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 N MILITARY TRL STE 5B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6058
Mailing Address - Country:US
Mailing Address - Phone:561-557-2138
Mailing Address - Fax:
Practice Address - Street 1:1195 N MILITARY TRL STE 5B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6058
Practice Address - Country:US
Practice Address - Phone:561-557-2138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR321-P.A363A00000X
FLAPRN11024743363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant