Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Annette Havrilak

Individual provider Registered Nurse · NPI 1164045274

Leslie Annette Havrilak is a Registered Nurse in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

4521 Thomas Jefferson St
Caldwell, ID 83605-5100
Phone: (208) 454-4820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 58087 (ID)

Record details

NPI number1164045274
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020

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