Mudge, Leslie Michelle

Mudge, Leslie Michelle is an individual health care provider with primary practice located at 6908 Mesa Ridge Pkwy , Fountain CO 80817-1533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mudge, Leslie Michelle can be contacted via phone (719) 505-3822.

Contact Information

Primary practice address
6908 Mesa Ridge Pkwy Fountain CO 80817-1533
Phone: (719) 505-3822
Fax: (719) 380-0228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0994106-NP Colorado

Profile Details

NPI number 1407337504
LBN Legal business name Mudge, Leslie Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2018
Last updated Jan 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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