Organization · NPI-2

Abundance Health Care

Nurse Practitioner, Family · Colorado Springs, CO

NPI number1831814953
StatusActive
Last updated in NPPESMar 31, 2023

Details

NPI
1831814953
Entity type
Organization (NPI-2)
Legal business name
Abundance Health Care
Organization subpart
No
Enumeration date
Oct 11, 2022
Certification date
Mar 31, 2023
Last updated
Mar 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes
261Q00000X Clinic/Center––

Practice location

3630 Sinton Rd Ste 320
Colorado Springs, CO 80907-5070

Phone 720-266-0544

Mailing address

8970 April Dr
Colorado Springs, CO 80920-7354

Phone 720-266-0544

Authorized official

La Tasha Monique Bruner-Hill
Fnp
7202660544

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