Healthcare Provider Details

I. General information

NPI: 1528526811
Provider Name (Legal Business Name): LESLIE DANA FRANCIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2019
Last Update Date: 03/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 E WOODMEN RD
COLORADO SPRINGS CO
80923-2601
US

IV. Provider business mailing address

6015 TWIN ROCK CT
COLORADO SPRINGS CO
80918-3238
US

V. Phone/Fax

Practice location:
  • Phone: 719-571-1000
  • Fax:
Mailing address:
  • Phone: 303-646-7521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN.1618311
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: