P Praxis·MD
● Active Type 1 · Individual

Leslie Annette Havrilak

Registered Nurse·Caldwell, ID· NPI 1164045274 · Enumerated 2020 · 5 years on NPI
Havrilak is 1 of 26 registered nurse providers in Caldwell and 1 of 354 in Idaho.
NPI age
5 years
Enumerated 2020-05-22
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-05-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 354 active registered nurse providers in Idaho.

NPI age
5 years
↑ 2 yr above median (3 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-05Enumerated in NPPES
2020 2026

Where they practice

Practice location
4521 Thomas Jefferson St
Caldwell, ID 836055100
📞 2084544820
Mailing address
4521 Thomas Jefferson St
Caldwell, ID 836055100
📞 2084544820

Specialties

  • Registered Nurse Primary
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    ID license #58087 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new registered nurse provider has been added in Caldwell in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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