| NPI | 1083789531 | 
|---|---|
| Former Name | LEEANN RENEE CAMPBELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991131-NP)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991131-NP)  | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991131-NP)  | |
| Enumeration Date | 2006-11-21 | 
| Last Update Date | 2024-05-08 |