Most Relevant Information
Provider Data
| NPI Number: | 1003415720 |
| Provider Name: | LESLIE OLIVER CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R199085 |
Most Important Dates
| Enumeration Date: | 10/23/2020 |
| Last Updated: | 10/23/2020 |
Provider Practice Location
106 MILFORD ST STE 503
SALISBURY
MD
218046958
Practice Location Phone/Fax
| Phone: | 4436722600 |
| Fax: |
Provider Mailing Location
106 MILFORD ST STE 503
SALISBURY
MD
218046958
Provider Mailing Phone/Fax
| Phone: | 4436722600 |
| Fax: |