Healthcare Provider Details

I. General information

NPI: 1023641792
Provider Name (Legal Business Name): AMY FITZGERALD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10807 NEW ALLEGIANCE DR STE 160
COLORADO SPRINGS CO
80921-3805
US

IV. Provider business mailing address

5445 DTC PKWY STE 1130
GREENWOOD VILLAGE CO
80111-3038
US

V. Phone/Fax

Practice location:
  • Phone: 720-749-5599
  • Fax:
Mailing address:
  • Phone: 720-749-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0106868-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number238568
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: