Individual
LEAH DERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2960 N CIRCLE DR, STE 200, COLORADO SPRINGS, CO 80909-1163
(719) 634-8891
(719) 634-1897
Mailing address
2960 N CIRCLE DR, STE 200, COLORADO SPRINGS, CO 80909-1163
(719) 634-8891
(719) 634-1897
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
990102
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78270766
—
CO
Enumeration date
07/25/2011
Last updated
07/27/2022
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