Leslie M Antonelli
Nurse Practitioner - Pediatrics
1703 W Stones Crossing Rd Ste 330
Greenwood
, Indiana 46143
Leslie M Antonelli
Nurse Practitioner - Pediatrics
1703 W Stones Crossing Rd Ste 330
Greenwood
, Indiana 46143
(317) 528-4800
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Leslie M Antonelli
- 1040 Sierra Dr Ste 400
- Greenwood, IN
- Zip : 46143-7241
- Phone : (317) 528-4800
Second Address
- Leslie M Antonelli
- 1703 W Stones Crossing Rd Ste 330
- Greenwood, IN
- Zip : 46143
- Phone : (317) 887-6060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 71002959A | IN |
National Provider Identifier
| NPI | 1013193457 |
|---|---|
| Provider Name | Leslie M Antonelli |
| First Address | Greenwood, IN 46143-7241 |
| Second Address | Greenwood, IN 46143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2008 |
| Last Update Date | 12/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200953450 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.