Healthcare Provider Details

I. General information

NPI: 1003578873
Provider Name (Legal Business Name): BRITTANY ANN OMER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 KELLY JOHNSON BLVD STE 310
COLORADO SPRINGS CO
80920-3947
US

IV. Provider business mailing address

1465 KELLY JOHNSON BLVD STE 310
COLORADO SPRINGS CO
80920-3947
US

V. Phone/Fax

Practice location:
  • Phone: 719-726-6573
  • Fax: 719-698-7879
Mailing address:
  • Phone: 719-726-6573
  • Fax: 719-698-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0105993-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: