Provider Demographics
NPI:1831575562
Name:BROWN, LESLIE A (APRN FNP)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:A
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN FNP
Mailing Address - Street 1:1691 W HORIZON RIDGE PKWY #100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3520
Mailing Address - Country:US
Mailing Address - Phone:702-450-8485
Mailing Address - Fax:702-804-1222
Practice Address - Street 1:1691 W HORIZON RIDGE PKWY #100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3520
Practice Address - Country:US
Practice Address - Phone:702-450-8485
Practice Address - Fax:702-804-1222
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128624363L00000X
NV832078363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner