Healthcare Provider Details
I. General information
NPI: 1942066881
Provider Name (Legal Business Name): ONHEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2024
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11590 BLACK FOREST RD STE 10
COLORADO SPRINGS CO
80908-6000
US
IV. Provider business mailing address
11590 BLACK FOREST RD
COLORADO SPRINGS CO
80908-6000
US
V. Phone/Fax
- Phone: 719-629-7988
- Fax: 719-212-8795
- Phone: 719-629-7988
- Fax: 719-212-8795
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GARY
SEIFERT
Title or Position: APRN, NURSE PRACTITIONER
Credential: APRN
Phone: 903-277-6877