Lezlie Short, FNP-C is a 
Nurse Practitioner - Family based in Upper Glade, West Virginia. Lezlie Short is licensed to practice in West Virginia (license number 105300) and her current practice location is 
177 Kentwood Drive, Upper Glade, West Virginia. She can be reached at her office (for appointments etc.) via phone at 
(304) 619-4667.
NPI number for Lezlie Short is 1487545158 and her current mailing address is 177 Kentwood Drive, Upper Glade, West Virginia. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487545158.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Lezlie Short | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Practitioner - Family | 
|---|
| Location | 177 Kentwood Drive, Upper Glade, West Virginia | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1487545158
- Provider Enumeration Date: 07/11/2025
- Last Update Date: 07/11/2025
 
		 
		 
Medical Identifiers
		Medical identifiers for Lezlie Short such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1487545158 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363LF0000X | Nurse Practitioner - Family | 105300 (West Virginia) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lezlie Short is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Lezlie Short, FNP-C 177 Kentwood Drive,
 Upper Glade, WV 26266-0088
 Ph: (304) 619-4667
 | Lezlie Short, FNP-C 177 Kentwood Drive,
 Upper Glade, WV 26266-0088
 Ph: (304) 619-4667
 | 
		
		 
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