Provider Demographics
NPI:1952985178
Name:BRATCHER, LESLEY CATHERINE (RN)
Entity type:Individual
Prefix:MRS
First Name:LESLEY
Middle Name:CATHERINE
Last Name:BRATCHER
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 1:3108 PRAIRIE DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1015
Mailing Address - Country:US
Mailing Address - Phone:317-362-5651
Mailing Address - Fax:
Practice Address - Street 1:8904 BASH ST STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1286
Practice Address - Country:US
Practice Address - Phone:317-735-6001
Practice Address - Fax:855-450-1177
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28116277A163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care