Individual
LESLIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
730 MACON AVE, CANON CITY, CO 81212-3314
(719) 275-1618
Mailing address
844 S 5TH ST, CANON CITY, CO 81212-4121
(710) 285-5019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997494-NP
CO
Other
Enumeration date
04/13/2022
Last updated
10/13/2023
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