Individual
ANNE MARIE LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1800 15TH ST, SUITE 320, GREELEY, CO 80631-4500
(970) 350-6953
(970) 350-6965
Mailing address
1800 15TH ST, SUITE 320, GREELEY, CO 80631-4500
(970) 350-6953
(970) 350-6965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
176511
CO
363L00000X
Nurse Practitioner
ARNP3166182
FL
363LF0000X
Family Nurse Practitioner
Primary
APN.0004983-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500027887
MEDICARE RR
FL
05
—
57427534
—
CO
01
—
591923037
TAX ID
FL
Enumeration date
09/16/2005
Last updated
04/29/2021
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