Healthcare Provider Details

I. General information

NPI: 1295651024
Provider Name (Legal Business Name): ENA OSMANOVIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 S PARKSIDE DR
COLORADO SPRINGS CO
80910-3141
US

IV. Provider business mailing address

8899 MEADOW ROSE VW
COLORADO SPRINGS CO
80924-8801
US

V. Phone/Fax

Practice location:
  • Phone: 844-315-2229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002094-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: