Individual provider · Type 1 NPI
Leslie Clarke, PNP
Pediatric Nurse Practitioner · Aurora, CO
NPI number
1104028695
Active
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Mailing address
PO Box 876
Aurora, CO 80040-0876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1478 (CO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104028695
Leslie Clarke, PNP's National Provider Identifier is 1104028695, issued on Jun 5, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Nov 8, 2012.