Provider Demographics
NPI:1730459033
Name:KUBIE, ANGELA LEE (NP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:LEE
Last Name:KUBIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:LEE
Other - Last Name:CLEGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:614 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4443
Mailing Address - Country:US
Mailing Address - Phone:202-257-2001
Mailing Address - Fax:
Practice Address - Street 1:14800 E BELLEVIEW DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2258
Practice Address - Country:US
Practice Address - Phone:303-680-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA718199163W00000X
CA20808363LF0000X
CO0990680363LF0000X
CO1619612163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse