Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE IRENE BURNSIDE, PA-C
ActiveLESLIE IRENE BURNSIDE, PA-C is a Physician Assistant healthcare provider located in CHUBBUCK, Idaho. NPI 1760451454 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHUBBUCK, ID
Registration Details
- NPI Number
- 1760451454
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2006 (20.381836906745 yrs)
- Last Updated
- Jul 22, 2014
- Licenses
-
PA518 (ID)PA-645 (AL)
Practice Information
- Address
-
147 W CHUBBUCK RDCHUBBUCK, ID, 832022314Browse ID providers · Browse ZIP 83202
- Phone
- 2082387546
- Fax
- 2082379643
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. AMY LOUISE MCKINLAY | PA-C | 1992716674 |
| RYAN T MCCULLOCH | PA | 1720195530 |
| RENEE LYNN KATTER | PA-C | 1053502955 |
| MRS. RACHEL M KOSTER | PA-C | 1437469830 |
| BRENT LEAVITT | — | 1740650548 |
| MR. WILEY D PETERSEN | PA-C | 1568920080 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.