Provider Demographics
NPI:1922758960
Name:HAYES, LESLIE DIANE (NP-C)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:DIANE
Last Name:HAYES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 NORTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5409
Mailing Address - Country:US
Mailing Address - Phone:561-842-3694
Mailing Address - Fax:561-842-3774
Practice Address - Street 1:550 NORTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5409
Practice Address - Country:US
Practice Address - Phone:561-842-3694
Practice Address - Fax:561-842-3774
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017346363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily