Provider Demographics
NPI:1265265433
Name:IRWIN, LESLIE BOOZER (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:BOOZER
Last Name:IRWIN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3701 S CLARKSON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3960
Mailing Address - Country:US
Mailing Address - Phone:720-769-8439
Mailing Address - Fax:303-955-1202
Practice Address - Street 1:3701 S CLARKSON ST STE 200
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3960
Practice Address - Country:US
Practice Address - Phone:207-698-4397
Practice Address - Fax:303-955-1202
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0999925-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily