Provider Demographics
NPI:1851541734
Name:LESLIE, RUTH ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:LESLIE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8208 MADISON RD
Mailing Address - Street 2:
Mailing Address - City:THOMPSON
Mailing Address - State:OH
Mailing Address - Zip Code:44086-9734
Mailing Address - Country:US
Mailing Address - Phone:440-298-3078
Mailing Address - Fax:
Practice Address - Street 1:8208 MADISON RD
Practice Address - Street 2:
Practice Address - City:THOMPSON
Practice Address - State:OH
Practice Address - Zip Code:44086-9734
Practice Address - Country:US
Practice Address - Phone:440-298-3078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH123750163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical