Randoll, Lesley Ann
Randoll, Lesley Ann is an individual health care provider with primary practice located at 391 N Main St , Kissimmee FL 34744-5271. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Randoll, Lesley Ann can be contacted via phone (407) 518-1074.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN11002450 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | APRN11002450 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 2014003661 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 2014003661 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN11002450 | Florida |
Profile Details
| NPI number | 1104240035 |
|---|---|
| LBN Legal business name | Randoll, Lesley Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2014 |
| Last updated | Apr 28th, 2021 - about 5 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 | 1104240035 | NPPES |
| Missouri | Other | 2014003661 | BOARD OF NURSING LICENSE |
| Missouri | Other | APRN11002450 | BOARD OF NURSING LICENSE |
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