MRS. LESLIE DIANE MORMILE


Address: 43807 10th St W Ste D, Lancaster, CA 93534-4805
Phone: 6615759365

MRS. LESLIE DIANE MORMILE (NPI# 1467619296) 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) 1467619296
Entity Type Individual
Full Name MRS. LESLIE DIANE MORMILE
Other Name MS. LESLIE DIANE HOLM
Credential DNP, APRN, PMHNP-BC
Practice Address 43807 10th St W Ste D
Lancaster
CA 93534-4805
Mailing Address Po Box 4056
Alamogordo
NM 88311-4056
Practice Telephone 6615759365
Mailing Telephone 5755511183
Mailing Fax Number 5752105001
Enumeration Date 2008-05-20
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
R172346-7 MN Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP95012547 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R172346-7 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 551121786 6516289566

Office Location

Street Address 43807 10TH ST W STE D
City LANCASTER
State CA
Zip Code 93534-4805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023234747 Heritage Clinic and The Community Assistance Program for Seniors Psychologist 43807 10th St W Ste D, Lancaster, CA 93534-4805 2007-04-18
1548720006 Diana C Bindel Case Manager/Care Coordinator 43807 10th St W Ste D, Lancaster, CA 93534-4805 2019-03-21
1124599238 Martha Fernandez Rehabilitation Practitioner 43807 10th St W Ste D, Lancaster, CA 93534-4805 2018-12-16
1548781792 Esmeralda D Nava Case Manager/Care Coordinator 43807 10th St W Ste D, Lancaster, CA 93534-4805 2017-06-28
1235666330 Blanca Hernandez Rehabilitation Practitioner 43807 10th St W Ste D, Lancaster, CA 93534-4805 2017-05-19
1184165300 Maria Coleman Perdue Nurse's Aide 43807 10th St W Ste D, Lancaster, CA 93534-4805 2017-03-20
1396121711 Victoria Torres Social Worker 43807 10th St W Ste D, Lancaster, CA 93534 2015-08-07
1386996213 Lytara Antoinette Garcia Counselor 43807 10th St W Ste D, Lancaster, CA 93534-4805 2012-10-02
1790924017 Sandra Blackwood Ponce Case Manager/Care Coordinator 43807 10th St W Ste D, Lancaster, CA 93534-4805 2009-02-10
1073766739 Farah Dorothy Green Rehabilitation Practitioner 43807 10th St W Ste D, Lancaster, CA 93534-4805 2008-10-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992359525 Laura Ann Bowser Nurse Practitioner 1007 Janet Ave, Lancaster, PA 17601-5119 2019-07-31
1992846497 Jt Bagen Enterprises Inc Nurse Practitioner 4721 Transit Road, Suite 23, Lancaster, NY 14043 2007-02-09
1982203337 Nicole Renee Grazioli Nurse Practitioner 333 Harrisburg Ave, Lancaster, PA 17603-2951 2020-10-17
1154950152 Evelyn Mensah Nurse Practitioner 812 N Prince St, Lancaster, PA 17603-2732 2020-04-02
1033741988 Sheila O. Jourdain Nurse Practitioner 802 New Holland Ave, Lancaster, PA 17602-2287 2020-02-09
1255980058 Brandon Pankiewicz Nurse Practitioner 1902 Olde Homestead Ln, Lancaster, PA 17601-5875 2019-09-05
1043781537 Jamie Lee Keagy Nurse Practitioner 333 Harrisburg Ave, Lancaster, PA 17603-2951 2018-12-10
1790272243 Josephine Ebarume Aideloje Nurse Practitioner 1600 W Avenue J, Lancaster, CA 93534-2814 2018-04-20
1518485200 Amanda A Yost Nurse Practitioner 812 N Prince St, Lancaster, PA 17603-2732 2017-09-01
1871011668 Kirsten Elise Weiss Nurse Practitioner 1886 Rohrerstown Rd, Lancaster, PA 17601-2322 2017-09-01
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Competitor

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City LANCASTER
Zip Code 93534

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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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