MRS. LESLIE FUENTES


Address: 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310
Phone: 9109078922

MRS. LESLIE FUENTES (NPI# 1497009138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497009138
Entity Type Individual
Full Name MRS. LESLIE FUENTES
Credential CPNP
Practice Address 2817 Reilly Rd
Womack Army Medical Center
Fort Bragg
NC 28310
Practice Telephone 9109078922
Mailing Telephone 9109078922
Enumeration Date 2012-11-02
Last Update Date 2012-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP60308167 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LESLIE FUENTES

NPI Name Taxonomy Address Enumeration
1215334552 Leslie Fuentes Case Manager/Care Coordinator 12130 Paramount Blvd, Downey, CA 90242-2339 2014-12-02

Office Location

Street Address 2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
City FORT BRAGG
State NC
Zip Code 28310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982693792 Colin M Greene Family Medicine 2817 Reilly Rd, Wamc Attn: Dccs, Fort Bragg, NC 28310-7324 2005-10-14
1720602824 James Harter Military Health Care Provider 2817 Reilly Rd, Fort Bragg, NC 28310-7301 2020-06-04
1952925448 John Kevin Fitzpatrick Student in an Organized Health Care Education/Training Program 2817 Reilly Rd, Fort Bragg, NC 28310-7301 2020-06-01
1396392601 Alison Elizabeth Berglund Physical Therapist 2817 Reilly Rd, Fort Bragg, NC 28310 2019-08-21
1174091946 Kerri Ann Henderson Physical Therapist 2817 Reilly Rd, Fort Bragg, NC 27332 2018-11-09
1487001483 Janessa Renee England Dermatology 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 2016-05-19
1174998652 Jessica Oseguera Emswiler Pharmacist 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 2015-12-09
1124422670 Carrie E Lutzen Nurse Practitioner 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 2014-10-13
1609281997 Boonyapa Purt Dentist 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 2014-06-25
1194033506 Angela Weston Feldtmann Student in an Organized Health Care Education/Training Program 2817 Reilly Rd, Fort Bragg, NC 28317 2010-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891768412 Patricia Anne Collins Nurse Practitioner 2817 Reilly Road Mcxc Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2006-02-13
1124064084 Laura B. Pressley Nurse Practitioner 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 2006-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811594732 Megan Hoekstra Nurse Practitioner 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 2020-10-04
1639713118 Holly Hattler Barber Nurse Practitioner Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 2019-10-29
1437709565 Molly Benson Miller Nurse Practitioner 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 2019-09-20
1407406267 Michelle Ferricher Nurse Practitioner Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 2019-09-13
1548814072 Ashley Goodwin Friddle Nurse Practitioner 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 2019-08-01
1740743129 Jennifer W Farrow Nurse Practitioner 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 2019-04-11
1538641147 Taylor Rippy Nurse Practitioner 2304 Delaney Ave, Wilmington, NC 28403-6013 2018-08-30
1427544931 Sheila L Mason Nurse Practitioner Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2018-07-09
1770099319 Jillian Hernandez Sprague Nurse Practitioner 101 E Matthews St Ste 800, Matthews, NC 28105-5374 2017-12-19
1427587625 Amanda Register Nurse Practitioner 110 E Park Dr, Beulaville, NC 28518-6916 2017-06-09
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Competitor

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City FORT BRAGG
Zip Code 28310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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