Provider Demographics
NPI:1841884939
Name:EHLE, LESLIE SUE (CNP)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:SUE
Last Name:EHLE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:SUE
Other - Last Name:RYGALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2865 N REYNOLDS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2070
Mailing Address - Country:US
Mailing Address - Phone:419-534-6551
Mailing Address - Fax:
Practice Address - Street 1:2865 N REYNOLDS RD STE 250
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2070
Practice Address - Country:US
Practice Address - Phone:419-534-6551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN335168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily