Healthcare Provider Details

I. General information

NPI: 1851522502
Provider Name (Legal Business Name): AMBER B CARRIVEAU APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER B GEOCARIS APNP

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4190 E WOODMEN RD
COLORADO SPRINGS CO
80920-8075
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-4455
  • Fax: 719-638-6891
Mailing address:
  • Phone: 970-624-2420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0995174-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995174-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: