Provider Demographics
NPI:1023100799
Name:SOLKOSKE, LESLEY GRACE WOODS (APRN)
Entity type:Individual
Prefix:MS
First Name:LESLEY
Middle Name:GRACE WOODS
Last Name:SOLKOSKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:81 MATTABASSET DR
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-7433
Mailing Address - Country:US
Mailing Address - Phone:860-714-4818
Mailing Address - Fax:860-714-8358
Practice Address - Street 1:114 WOODLAND ST
Practice Address - Street 2:GENGRAS ROOM 1026
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1208
Practice Address - Country:US
Practice Address - Phone:860-714-4818
Practice Address - Fax:860-714-8358
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR21615363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics