Tice, Leslie Ann

Tice, Leslie Ann is an individual health care provider with primary practice located at 1001 York Rd , Baltimore MD 21204-2516. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tice, Leslie Ann can be contacted via phone (410) 923-1044.

Contact Information

Primary practice address
1001 York Rd Baltimore MD 21204-2516
Phone: (410) 923-1044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R130790 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R130790 Maryland

Profile Details

NPI number 1972505295
LBN Legal business name Tice, Leslie Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 13th, 2009 - about 17 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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