Provider Demographics
NPI:1609004126
Name:PACE, LESLIE LUANNE (APN)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:LUANNE
Last Name:PACE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6542 S MCCARRAN BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6167
Mailing Address - Country:US
Mailing Address - Phone:775-329-3484
Mailing Address - Fax:775-329-5362
Practice Address - Street 1:6542 S MCCARRAN BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6167
Practice Address - Country:US
Practice Address - Phone:775-329-3484
Practice Address - Fax:775-329-5362
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2013-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV1081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily