Individual provider · Type 1 NPI

Leslie Annette Havrilak

Registered Nurse · Caldwell, ID

NPI number 1164045274 Active

Practice location

4521 Thomas Jefferson St
Caldwell, ID 83605-5100

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X58087 (ID)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1164045274

Leslie Annette Havrilak's National Provider Identifier is 1164045274, issued on May 22, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Caldwell, ID. The record was last updated on May 22, 2020.