Individual
LESLIE ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP-BC
Contact information
Practice address
1010 RIO GRANDE AVE, MONTROSE, CO 81401-4831
(970) 497-3333
(855) 299-7837
Mailing address
PO BOX 529, OLATHE, CO 81425-0529
(970) 323-6141
(855) 299-8071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN.0993153-NP
CO
367A00000X
Advanced Practice Midwife
Primary
990644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118859
STATE LICENSE
CO
05
—
16285832
—
CO
01
—
990644
STATE LICENSE
CO
01
—
APN.0993153-NP
STATE LICENSE
CO
Enumeration date
03/06/2013
Last updated
10/03/2019
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