Bazan, Leandra Bibiana

Bazan, Leandra Bibiana is an individual health care provider with primary practice located at 1900 16Th St , Greeley CO 80631. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Technologists, Technicians & Other Technical Service Providers / Art, Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bazan, Leandra Bibiana can be contacted via phone (970) 350-2426.

Contact Information

Primary practice address
1900 16Th St Greeley CO 80631
Phone: (970) 350-2426
Fax: (970) 350-2478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103879 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0005128 Colorado
Technologists, Technicians & Other Technical Service Providers / Art, Medical 246ZA2600X TN35171 Florida

Profile Details

NPI number 1407947286
LBN Legal business name Bazan, Leandra Bibiana
Credentials PA-C, MT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 28th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407947286 NPPES
Colorado MEDICAID 1407947286

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