Amy R Leibli, NP | |
109 Latigo Ln Ste G, Canon City, CO 81212-8113 | |
(719) 430-5650 | |
(719) 345-0607 |
Full Name | Amy R Leibli |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 109 Latigo Ln Ste G, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316456981 | NPI | - | NPPES |
APN.0993394-NP | Other | CO | APN-NP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ACPM.0993394-NP (Colorado) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN.0993394-NP (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Entity Name | Mind And Body Integration |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811659584 PECOS PAC ID: 8325438419 Enrollment ID: O20211203001504 |
Mailing Address | Practice Location Address |
---|---|
Amy R Leibli, NP 265 7th St, Penrose, CO 81240-9312 Ph: (719) 430-5650 | Amy R Leibli, NP 109 Latigo Ln Ste G, Canon City, CO 81212-8113 Ph: (719) 430-5650 |
Mrs. Deborah Eileen Shock, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 W Hwy 50, Canon City, CO 81212 Phone: 719-269-4078 | |
Marsha L. Coberly, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, St Thomas More Hospital, Canon City, CO 81212 Phone: 719-285-2000 | |
Teresa A. Hoskins, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 | |
Ms. Betty Ann Krenson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-7048 | |
Sarah Troemel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 | |
Melissa Rogers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Evans Rd, Canon City, CO 81212 Phone: 719-269-5002 | |
Mrs. Susan Katherine Frady, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 Fax: 719-204-0230 |