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NPI Code Detail

MEDICARE: KATHERINE LEE SEARL PMHNP-BC

MEDICARE: KATHERINE LEE SEARL PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP.0993568-NPCO

General Provider Information

NPI Number : 1326552290
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE LEE SEARL PMHNP-BC
Provider Business Mailing Address
First Line : 5450 VILLA CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5142 N ACADEMY BLVD # 1073
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4002
Country : US
Telephone Number : 719-684-6862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 09/01/2025

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