Individual provider · Type 1 NPI
Leslie Burgess, NP
Family Nurse Practitioner · Fontana, CA
NPI number
1265893317
Active
Practice location
8110 Mango Avenue
Fontana, CA 92335
Fax (909) 357-1581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95003707 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265893317
Leslie Burgess, NP's National Provider Identifier is 1265893317, issued on Mar 17, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fontana, CA. The record was last updated on Nov 17, 2016.