Healthcare Provider Details

I. General information

NPI: 1497265151
Provider Name (Legal Business Name): VIRGINIA LEE LEONARD WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2017
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8580 SCARBOROUGH DR STE 100
COLORADO SPRINGS CO
80920-7583
US

IV. Provider business mailing address

8580 SCARBOROUGH DR STE 100
COLORADO SPRINGS CO
80920-7583
US

V. Phone/Fax

Practice location:
  • Phone: 719-596-3344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0993563
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: