Individual
LESLIE MICHELLE MUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10TH MEDICAL GROUP, 4102 PINON DRIVE, USAF ACADEMY, CO 80840
(719) 333-5186
Mailing address
10TH MEDICAL GROUP, 4102 PINON DRIVE, USAF ACADEMY, CO 80840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994106-NP
CO
Other
Enumeration date
08/27/2018
Last updated
11/14/2024
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