Healthcare Provider Details

I. General information

NPI: 1780084392
Provider Name (Legal Business Name): ERIN ZOTIGH PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2014
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5134 N NEVADA AVE STE 100
COLORADO SPRINGS CO
80918-8699
US

IV. Provider business mailing address

5134 N NEVADA AVE STE 100
COLORADO SPRINGS CO
80918-8699
US

V. Phone/Fax

Practice location:
  • Phone: 719-598-5698
  • Fax: 719-598-3729
Mailing address:
  • Phone: 719-598-5698
  • Fax: 719-598-3729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0004152
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: