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Canon Professional Wellness Clinic LLC

Primary Care Nurse Practitioner in Canon City, CO · enumerated 2023 · authorized official Leslie Nelson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780384560

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Registry record

Entity type Organization (Type 2)
Legal business name Canon Professional Wellness Clinic LLC
Practice address 730 Macon Ave, Canon City, CO, 81212
Phone (719) 275-1618
Enumeration date Mar 9, 2023
Last updated in NPPES Feb 19, 2024

Taxonomy & classification

261QF0050X Non-Surgical Family Planning Clinic/Center Ambulatory Health Care Facilities Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Leslie Nelson
Title Owner
Phone (719) 285-5019

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Canon Professional Wellness Clinic LLC located?
The practice location on file with NPPES is in Canon City, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-19.