Provider Demographics
NPI:1184411233
Name:BOWLBY, LESLIE (RN)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:BOWLBY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:LESLIE ANN
Other - Middle Name:
Other - Last Name:BOWLBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:228 PARK AVE S
Mailing Address - Street 2:SUITE 15314
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1502
Mailing Address - Country:US
Mailing Address - Phone:215-585-2144
Mailing Address - Fax:
Practice Address - Street 1:230 US HIGHWAY 206
Practice Address - Street 2:BLDG 3, SUITE 4
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9287
Practice Address - Country:US
Practice Address - Phone:866-306-2026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC128446163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse