Search › Colorado › 363A00000X
Leandra Bazan, PA-C, MT
NPI 1407947286 · on the registry since 2006
Practice
- Address
- 1900 16th St
Greeley, CO 80631 - Phone
- (970) 350-2426
- Fax
- (970) 350-2478
- Organisation at this address
- Pathways Hospice
Greeley Medical Clinic
Greeley Medical Clinic
Greeley Medical Clinic Pc
Professional Pharmacy Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- 4801 N Federal Hwy, Fort Lauderdale, FL
- 4801 N Federal Hwy, Fort Lauderdale, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
246ZA2600X - Licence states on file
- FL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado