Individual provider · Type 1 NPI

Leslie Ann Waldo, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1619516465 Active

Practice location

3909 New Vision Dr
Fort Wayne, IN 46845-1725

Fax (260) 969-3065

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71009644A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619516465

Leslie Ann Waldo, NP's National Provider Identifier is 1619516465, issued on Dec 26, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 30, 2023.