Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind and Body Integration, PLLC

Organization Family Nurse Practitioner · NPI 1811659584

Mind and Body Integration, PLLC is a Family Nurse Practitioner in Canon City, Colorado. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 Latigo Ln Ste G
Canon City, CO 81212-8113
Phone: (719) 430-5650
Fax: (719) 345-0607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1811659584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Leibli — Dnp, Fnp-Bc, Pmhnp-Bc · (719) 430-5650
NPI enumeratedOctober 11, 2021
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address265 7th St, Penrose, CO 81240-9312

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