NPI 1164045274

Leslie Annette Havrilak

Practitioner Registered Nurse Caldwell, ID

Practice location

Address: 4521 Thomas Jefferson St, Caldwell, ID 83605-5100
Phone: (208) 454-4820

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 58087 (ID)

Other Registered Nurse providers in Idaho →

Registry record

NPI: 1164045274
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2020
Record last updated: 22 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.