Individual provider · Type 1 NPI
Lee Michael Fonseca, NP-C
Nurse Practitioner · Pueblo, CO
Practice location
4112 Outlook Blvd, Suite 37
Pueblo, CO 81008-1667
Fax (719) 562-6255
Mailing address
PO Box 800022 Suite 37
Kansas City, MO 64180-0022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 105831 (CO) |
| Nurse Practitioner Primary | 363L00000X | APN.0004081-NP (CO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1831258367
Lee Michael Fonseca, NP-C's National Provider Identifier is 1831258367, issued on Dec 8, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pueblo, CO. The record was last updated on Feb 11, 2025.