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General NPI Number Information
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NPI Number | 1467619296
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Entity Type | Individual
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Provider Name | LESLIE DIANE MORMILE DNP, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 9397 CROWN CREST BLVD STE 440
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City | PARKER
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State | CO
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Zip | 80138-8789
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Country | US
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Telephone | 970-310-3406
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Fax |
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Provider Business Mailing Address
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Address Line | 9397 CROWN CREST BLVD STE 440
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City | PARKER
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State | CO
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Zip | 80138-8789
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Country | US
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Telephone | 970-310-3406
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95012547
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0101333-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | R172346-7
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | C-RXN.0100933-C-NP
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP-02767
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License Number State | NM
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