Healthcare Provider Details

I. General information

NPI: 1033645700
Provider Name (Legal Business Name): ELISABETH MELISSA ALMOND APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 CRYSTOLA ST
CALHAN CO
80808-8742
US

IV. Provider business mailing address

3205 N ACADEMY BLVD STE 103
COLORADO SPRINGS CO
80917-5147
US

V. Phone/Fax

Practice location:
  • Phone: 719-347-0100
  • Fax: 719-347-0851
Mailing address:
  • Phone: 719-632-5700
  • Fax: 719-344-7877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0993093-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: