| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LESLIE CAROL CASACHAHUA SIESQUEN | 1750961132 | 2021-04-10 |
Leslie Carol Casachahua Siesquen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750961132. Registration indicates Leslie Carol Casachahua Siesquen is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Leslie Carol Casachahua Siesquen FNP-C |
| Practice Office Address | 180 TOWN CENTER BLVD STE 400 JARRELL, TX US |
| Practice Office Telephone | 5125881501 |
| Mailing Address | 1750 TIMBER RIDGE RD APT 118 AUSTIN, TX 787415574 US |
| Business Telephone | 2077120962 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 1033714
TX |