Healthcare Provider Details

I. General information

NPI: 1104515139
Provider Name (Legal Business Name): LESLIE ALLENE NEWTON MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 N LOGAN ST FL 6
DENVER CO
80203-1939
US

IV. Provider business mailing address

1580 N LOGAN ST FL 6
DENVER CO
80203-1939
US

V. Phone/Fax

Practice location:
  • Phone: 657-500-0634
  • Fax: 303-923-8638
Mailing address:
  • Phone: 657-500-0634
  • Fax: 303-923-8638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997928-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-287516
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number204537
License Number StateND
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200450
License Number StateSD
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number337909
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number899434
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number88311
License Number StateNM
# 8
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2281009
License Number StateID
# 9
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116770
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: