MEDICARE: MS. AMANDA BATTERBEE 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP-990065	CO

General Provider Information

NPI Number	:	1639449432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA BATTERBEE PMHNP-BC

Provider Business Mailing Address
First Line	:	6760 CORPORATE DR STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1986
Country	:	US
Telephone Number	:	719-639-2486
Fax Number	:	719-890-7306

Provider Business Practice Location Address
First Line	:	6760 CORPORATE DR STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1986
Country	:	US
Telephone Number	:	719-639-2486
Fax Number	:	719-890-7306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	06/05/2026

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