Healthcare Provider Details

I. General information

NPI: 1467383513
Provider Name (Legal Business Name): WHITNEY MAGOWAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 MONTEBELLO DR STE 900
COLORADO SPRINGS CO
80918-7210
US

IV. Provider business mailing address

4360 MONTEBELLO DR STE 900
COLORADO SPRINGS CO
80918-7210
US

V. Phone/Fax

Practice location:
  • Phone: 719-388-1594
  • Fax: 719-388-1595
Mailing address:
  • Phone: 719-388-1594
  • Fax: 719-388-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number163W00000X
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: