Individual
MRS. HAZEL SUEDE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Mailing address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
679672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12537198
CAQH ID
CO
05
—
192044903
—
TX
05
—
192044904
—
TX
05
—
28201779
—
CO
01
—
P00975173
RAILROAD MEDICARE
TX
Enumeration date
08/08/2006
Last updated
04/10/2014
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