Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 2416 | CO |
N | 363LW0102X | Nurse Practitioner - Women's Health | APN.0002416-NP | CO |
Y | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | APN.0002416-NP | CO |
NPI | 1093768665 |
---|---|
Provider Name | Kristin Leclair |
First Address | Englewood, CO 80113-3781 |
Second Address | Highlands Ranch, CO 80129-6688 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 10/02/2022 |