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

Leslie Riddle

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639750169

Leslie Riddle is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1231 Camelot Dr
Provo, UT 84601-1454
Phone: (801) 691-9875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1840 S 1300 E, Salt Lake City, UT 84105-3617 — (801) 832-2200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277694-4405 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639750169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2021
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address1840 S 1300 E, Salt Lake City, UT 84105-3617

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