Provider Demographics
NPI:1619852217
Name:EVANS, LESLIE ANN (RN)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANN
Last Name:EVANS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 E COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-8947
Mailing Address - Country:US
Mailing Address - Phone:575-408-6619
Mailing Address - Fax:
Practice Address - Street 1:2925 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-8947
Practice Address - Country:US
Practice Address - Phone:575-408-6619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR55288163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse