Provider Demographics
NPI:1770887234
Name:MINUS, LESLIE
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:MINUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 UNIVERSITY DR
Mailing Address - Street 2:SUITE 27G
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6124
Mailing Address - Country:US
Mailing Address - Phone:919-294-9183
Mailing Address - Fax:
Practice Address - Street 1:4800 UNIVERSITY DR
Practice Address - Street 2:SUITE 27G
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6124
Practice Address - Country:US
Practice Address - Phone:919-294-9183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X, 372600000X, 374T00000X, 374U00000X, 376J00000X
SC159419R376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker