Healthcare Provider Details

I. General information

NPI: 1689510760
Provider Name (Legal Business Name): BELINDA RUSSELL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8540 SCARBOROUGH DR STE 370
COLORADO SPRINGS CO
80920-7519
US

IV. Provider business mailing address

8540 SCARBOROUGH DR STE 370
COLORADO SPRINGS CO
80920-7519
US

V. Phone/Fax

Practice location:
  • Phone: 719-358-8270
  • Fax: 719-358-8299
Mailing address:
  • Phone: 719-328-8270
  • Fax: 719-358-8299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1001917-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: