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Contact Information

LESLIE J BUZZARD
2200 RANDALLIA DR
FORT WAYNE, IN46805-4638
 Phone: 260-373-6070
 Fax: 260-373-6704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for LESLIE J BUZZARD · (Female)

NPI Number 1881386563
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2023
Last updated 08/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 28230306A
  • IN License # 71014049A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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