Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 63006 | CO |
NPI | 1053640631 |
---|---|
Provider Name | Ms. Susan Leinbach Wilcinski |
First Address | Denver, CO 80218-1235 |
Second Address | Denver, CO 80218-1235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2009 |
Last Update Date | 10/12/2009 |