Provider Demographics
NPI:1912494972
Name:BARRIENTES, LESLEY MARIE
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:MARIE
Last Name:BARRIENTES
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 1:436 NW AVENUE B
Mailing Address - Street 2:
Mailing Address - City:HAMLIN
Mailing Address - State:TX
Mailing Address - Zip Code:79520-3223
Mailing Address - Country:US
Mailing Address - Phone:325-370-4469
Mailing Address - Fax:
Practice Address - Street 1:436 NW AVENUE B
Practice Address - Street 2:
Practice Address - City:HAMLIN
Practice Address - State:TX
Practice Address - Zip Code:79520-3223
Practice Address - Country:US
Practice Address - Phone:325-370-4469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse