Individual provider · Type 1 NPI

Leslie Ann Fermin Depayso, APRN

Family Nurse Practitioner · Urbana, IL

NPI number 1699528596 Active

Practice location

611 W Park St
Urbana, IL 61801-2501

Mailing address

1505 Montgomery St
Urbana, IL 61802-4742

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.028491 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1699528596

Leslie Ann Fermin Depayso, APRN's National Provider Identifier is 1699528596, issued on Apr 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Urbana, IL. The record was last updated on Apr 9, 2024.