Leslie Carol De la Flor, NP

Individual provider Active NPI Women's Health Nurse Practitioner · Stevenson Ranch, CA

NPI 1679765267 · NPPES record last updated Aug 16, 2007

Key facts

NPI
1679765267
Entity type
Individual (NPI type 1)
Primary specialty
Women's Health Nurse Practitioner 363LW0102X
License
412018 (CA)
Practice address
25592 The Old Rd
Stevenson Ranch, CA 91381-1705
Phone
(661) 288-1405
Fax
(661) 705-2090
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
412018CAMDWomen's Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 412018 CA Yes

Addresses

Primary practice location

25592 The Old Rd
Stevenson Ranch, CA 91381-1705

Mailing address

25592 The Old Rd
Stevenson Ranch, CA 91381-1705
Phone (661) 288-1405

Other names

  • Miss Leslie Carol Dupere Former name

Other providers in Stevenson Ranch, CA

All providers in Stevenson Ranch, CA · Women's Health Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.