Provider Demographics
NPI:1366619231
Name:NURSE, LESLIE ADINAH (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ADINAH
Last Name:NURSE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5109 DUDLEY LN
Mailing Address - Street 2:APT 304
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5450
Mailing Address - Country:US
Mailing Address - Phone:917-992-1060
Mailing Address - Fax:301-618-5571
Practice Address - Street 1:1221 MERCANTILE LANE
Practice Address - Street 2:KAISER PERMANENTE LARGO MEDICAL CENTER
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774
Practice Address - Country:US
Practice Address - Phone:917-992-1060
Practice Address - Fax:301-618-5571
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-10
Last Update Date:2022-01-19
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Provider Licenses
StateLicense IDTaxonomies
VA0101245996207Y00000X
TN43532207Y00000X
DCMD038301207Y00000X
MDD659549207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology