Healthcare Provider Details
I. General information
NPI: 1487335782
Provider Name (Legal Business Name): WHITNEY LEIGH HOAGLAND NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/28/2023
Last Update Date: 01/16/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2446 RESEARCH PKWY STE 200
COLORADO SPRINGS CO
80920-1087
US
IV. Provider business mailing address
8101 E LOWRY BLVD STE 120
DENVER CO
80230-7195
US
V. Phone/Fax
- Phone: 719-580-4506
- Fax:
- Phone: 720-865-6072
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APN.0998971-NP |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APN.0998971-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: