Individual
LESLIE BRUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 383-5412
Mailing address
1100 CARSON AVE STE 203, LA JUNTA, CO 81050-2751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0995989-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000195540
—
CO
Enumeration date
01/15/2021
Last updated
06/20/2023
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