Prestenbach, Leslie

Prestenbach, Leslie is an sole proprietor health care provider with primary practice located at 843 Milling Ave , Luling LA 70070-4442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Prestenbach, Leslie can be contacted via phone (985) 307-1600.

Contact Information

Primary practice address
843 Milling Ave Luling LA 70070-4442
Fax: (504) 575-3691
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO7977 Louisiana

Profile Details

NPI number 1962811208
LBN Legal business name Prestenbach, Leslie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2014
Last updated Mar 21st, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962811208 NPPES
Louisiana MEDICAID 2377116
Louisiana MEDICAID 03684747

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