Provider Demographics
NPI:1265602072
Name:LIMMER, LESLIE ANNE (RN, BSN, CRRN)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ANNE
Last Name:LIMMER
Suffix:
Gender:F
Credentials:RN, BSN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 LEMON BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:OSTEEN
Mailing Address - State:FL
Mailing Address - Zip Code:32764-9490
Mailing Address - Country:US
Mailing Address - Phone:407-322-3525
Mailing Address - Fax:877-201-4594
Practice Address - Street 1:611 LEMON BLUFF RD
Practice Address - Street 2:
Practice Address - City:OSTEEN
Practice Address - State:FL
Practice Address - Zip Code:32764-9490
Practice Address - Country:US
Practice Address - Phone:407-322-3525
Practice Address - Fax:877-201-4594
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2863912163W00000X
FL00156648163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management