MEDICARE: AISHA LEDET FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0996040	CO

General Provider Information

NPI Number	:	1790374395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA LEDET FNP

Provider Business Mailing Address
First Line	:	1600 GLENARM PL APT 2602
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-4339
Country	:	US
Telephone Number	:	409-332-8210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 GLENARM PL APT 2602
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-4339
Country	:	US
Telephone Number	:	409-332-8210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2021
Last Update Date	:	01/18/2021

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