Healthcare Provider Details

I. General information

NPI: 1902297708
Provider Name (Legal Business Name): DAVID LEUNG FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2015
Last Update Date: 01/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9395 CROWN CREST BLVD
PARKER CO
80138-8573
US

IV. Provider business mailing address

2526 AMBIENCE LN
CASTLE ROCK CO
80109-3753
US

V. Phone/Fax

Practice location:
  • Phone: 303-603-3589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number200941876RN
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201408562NP-PP
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0992042-NP
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1632098
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: