Provider Demographics
NPI:1942266895
Name:TROTTER, LESLIE KATHRYN (RN)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:KATHRYN
Last Name:TROTTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7325 SIDNEY DR
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-2969
Mailing Address - Country:US
Mailing Address - Phone:916-721-9301
Mailing Address - Fax:
Practice Address - Street 1:1500 C ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-1023
Practice Address - Country:US
Practice Address - Phone:916-874-5303
Practice Address - Fax:916-442-1878
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA411824163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice