Healthcare Provider Details
I. General information
NPI: 1285323915
Provider Name (Legal Business Name): CLAIRE LEIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8461 TURNPIKE DR STE 102
WESTMINSTER CO
80031-4378
US
IV. Provider business mailing address
3325 CORVINA CT
EVANS CO
80634-8968
US
V. Phone/Fax
- Phone: 720-515-4244
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: