Provider Demographics
NPI:1609063924
Name:SWIFT, LEILANI FAJARDO (RN, MSN, WHCNP)
Entity type:Individual
Prefix:MRS
First Name:LEILANI
Middle Name:FAJARDO
Last Name:SWIFT
Suffix:
Gender:
Credentials:RN, MSN, WHCNP
Other - Prefix:MS
Other - First Name:LEILANI
Other - Middle Name:SWIFT
Other - Last Name:WOODSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, WHCNP
Mailing Address - Street 1:1130 ALPINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3402
Mailing Address - Country:US
Mailing Address - Phone:303-447-1361
Mailing Address - Fax:303-449-5473
Practice Address - Street 1:1130 ALPINE AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3402
Practice Address - Country:US
Practice Address - Phone:303-447-1361
Practice Address - Fax:303-449-5473
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO126642163WW0101X
CO0005230NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory