Nurse Practitioner, Primary Care
CANON PROFESSIONAL WELLNESS CLINIC LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1780384560 · enumerated 2023-03-09 · record updated 2024-02-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LESLIE NELSON APN, Owner · (719) 285-5019
Addresses and phones
- Practice location 730 MACON AVE, CANON CITY, CO, 81212-3314 (719) 275-1618 Google Maps Apple Maps OpenStreetMap
- Mailing address 730 MACON AVE, CANON CITY, CO, 81212-3314 (719) 275-1618 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center, Family Planning, Non-Surgical 261QF0050X
- Nurse Practitioner, Primary Care 363LP2300X · Primary
In this directory
CO Fremont County Canon City Nurse Practitioner, Primary Care
Locations and evidence
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Practice location
CANON CITY, CO, 812123314
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.