OLD COLORADO CITY WELLNESS PLLC NPI 1154971661

NPI Information

OLD COLORADO CITY WELLNESS PLLC is a family nurse practitioner in Colorado Springs, CO. OLD COLORADO CITY WELLNESS PLLC NPI is 1154971661. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2020 W COLORADO AVE # 303
COLORADO SPRINGS, CO
ZIP 80904-882
Phone: (719) 473-2368
Fax: (719) 473-4581

The provider's authorized official is Jill Elene Smothers .
The authorized official title is Owner/managing Member and has the following contact phone number (719) 473-2368.

The CLIA number assigned to this NPI record is 06D2185612 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/17/2019 and was last updated on 9/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.