Lesline Wallace Wildman is a Certified Registered Nurse Anesthetist based in Tampa, FL. Lesline Wallace Wildman practices in Tampa, FL and has the professional credentials of CRNA. The NPI Number for Lesline Wallace Wildman is 1902888548 and holds a License No. ARNP918952 (Florida).
The current practice location address for Lesline Wallace Wildman is 3100 E Fletcher Ave, Tampa, FL and can be reached out via phone at 813-615-7914 and via fax at 813-615-8134. You can also correspond with Lesline Wallace Wildman through the mailing address at 3100 E FLETCHER AVE, TAMPA, FL - 33613-4613 (mailing address contact number: 813-615-7914).
Identifier | Type | State | Issuer |
---|---|---|---|
034811200 | 05 | FL | |
430028310 | 01 | RAILROAD MEDICARE | |
G0431 | 01 | FL | BCBS |
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