Provider Demographics
NPI:1013428960
Name:MEANS, LESLIE JEANNE
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:JEANNE
Last Name:MEANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14410 N 51ST AVE W
Mailing Address - Street 2:
Mailing Address - City:MINGO
Mailing Address - State:IA
Mailing Address - Zip Code:50168-8544
Mailing Address - Country:US
Mailing Address - Phone:515-557-0363
Mailing Address - Fax:
Practice Address - Street 1:106 S THEODORE ST
Practice Address - Street 2:
Practice Address - City:MINGO
Practice Address - State:IA
Practice Address - Zip Code:50168-7728
Practice Address - Country:US
Practice Address - Phone:641-363-4268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care