LESLIE JO BUZZARD

FORT WAYNE, IN
NPI1881386563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71014049A)
Additional Taxonomies163WW0000X Registered Nurse, Wound Care
(Licence: IN  28230306A)
Enumeration Date2023-05-22
Last Update Date2023-08-30
Business Address
LESLIE JO BUZZARD
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-6070
Mailing Address
LESLIE JO BUZZARD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: