Healthcare Provider Details

I. General information

NPI: 1841849171
Provider Name (Legal Business Name): LINDA ESMERALDA DE LEON AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA DELEON GUTIERREZ

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S CHERRY ST
DENVER CO
80246-1325
US

IV. Provider business mailing address

2651 S XANADU WAY UNIT D
AURORA CO
80014-2216
US

V. Phone/Fax

Practice location:
  • Phone: 303-731-0692
  • Fax:
Mailing address:
  • Phone: 210-326-7206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP142753
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP142753
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP142753
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0102642-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: