Healthcare Provider Details

I. General information

NPI: 1427972595
Provider Name (Legal Business Name): CONNOR LEIGH CASALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

175 INVERNESS DR W
ENGLEWOOD CO
80112-5065
US

IV. Provider business mailing address

175 INVERNESS DR W
ENGLEWOOD CO
80112-5065
US

V. Phone/Fax

Practice location:
  • Phone: 970-690-0262
  • Fax:
Mailing address:
  • Phone: 970-690-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002261-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: