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NPI Code Detail

MEDICARE: LEIGH THOMAS FNP-BC

MEDICARE:   LEIGH  THOMAS  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.0999295-NPCO

General Provider Information

NPI Number : 1629826185
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH THOMAS FNP-BC
Provider Business Mailing Address
First Line : 2903 FLINTRIDGE PL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4275
Country : US
Telephone Number : 719-466-0324
Fax Number :
Provider Business Practice Location Address
First Line : 5475 TECH CENTER DR STE 105
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2336
Country : US
Telephone Number : 719-223-4621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2024
Last Update Date : 05/09/2024

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Directions to “ LEIGH THOMAS FNP-BC” Practice Location

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