NPI 1104028695 · live from the CMS NPI Registry
Leslie Clarke, PNP
Nurse Practitioner, Pediatrics in Aurora, CO. National Provider Identifier 1104028695, active.
NPI record
| NPI | 1104028695 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 13123 E 16th Ave, Aurora, CO 80045 |
| Practice phone | 720-777-1234 |
| Mailing address | Po Box 876, Aurora, CO 80040 |
| Enumerated | June 5, 2007 |
| Last updated | November 8, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1478 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.