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Individual

SHANNON ELIZABETH LEIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
4110 BRIARGATE PKWY STE 400, COLORADO SPRINGS, CO 80920-7838
(719) 364-6550
(719) 365-7668
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2420
(970) 267-7290

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0010268-NP
CO
363LA2200X
Adult Health Nurse Practitioner
10268
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60036222
CO
Enumeration date
02/22/2010
Last updated
12/10/2024
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