Leibli, Amy R

Leibli, Amy R is an individual health care provider with primary practice located at 109 Latigo Ln Ste G , Canon City CO 81212-8113. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Leibli, Amy R can be contacted via phone (719) 430-5650.

Contact Information

Primary practice address
109 Latigo Ln Ste G Canon City CO 81212-8113
Phone: (719) 430-5650
Fax: (719) 345-0607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ACPM.0993394-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0993394-NP Colorado

Profile Details

NPI number 1316456981
LBN Legal business name Leibli, Amy R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2017
Last updated Feb 21st, 2023 - about 3 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 1316456981 NPPES
Colorado Other APN.0993394-NP APN-NP

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