Mortimer, Lesley Joan
Mortimer, Lesley Joan is an individual health care provider with primary practice located at 1217 1St St Nw , Albuquerque NM 87125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mortimer, Lesley Joan can be contacted via phone (505) 767-1118.Contact Information
Primary practice address
1217 1St St Nw
Albuquerque NM 87125
Phone: (505) 767-1118
Fax: (505) 242-3531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R15653 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN00081985 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30001222 | Washington |
Profile Details
| NPI number | 1700877784 |
|---|---|
| LBN Legal business name | Mortimer, Lesley Joan |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 19th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700877784 | NPPES |
| New Mexico | MEDICAID | 45385 |
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