Provider Demographics
NPI:1518432418
Name:ZAHAREWICZ, LESLIE C (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:C
Last Name:ZAHAREWICZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:C
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1721 FOUNTAIN PASS DR
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7723
Mailing Address - Country:US
Mailing Address - Phone:817-395-2705
Mailing Address - Fax:
Practice Address - Street 1:425 WESTPARK WAY STE 102
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3936
Practice Address - Country:US
Practice Address - Phone:817-354-7070
Practice Address - Fax:817-354-7073
Is Sole Proprietor?:No
Enumeration Date:2018-10-06
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139145363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care