Healthcare Provider Details

I. General information

NPI: 1609747351
Provider Name (Legal Business Name): HANNAH KATHERINE WOODLE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PRINTERS PKWY STE 200
COLORADO SPRINGS CO
80910-3142
US

IV. Provider business mailing address

75 PRINTERS PKWY STE 200
COLORADO SPRINGS CO
80910-3142
US

V. Phone/Fax

Practice location:
  • Phone: 719-300-8433
  • Fax: 719-300-7796
Mailing address:
  • Phone: 719-300-8433
  • Fax: 719-300-7796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN.1688725
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: