LESLIE MICHELLE MUDGE

FOUNTAIN, CO
NPI1407337504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0994106-NP)
Enumeration Date2018-08-27
Last Update Date2019-01-01
Business Address
LESLIE MICHELLE MUDGE FNP
6908 MESA RIDGE PKWY
FOUNTAIN, CO 80817-1533
Phone number: 719-505-3822
Mailing Address
LESLIE MICHELLE MUDGE FNP
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917-4223
Phone number: 719-471-2273