Healthcare Provider Details

I. General information

NPI: 1952719502
Provider Name (Legal Business Name): ERIN ALLEN BULLOCK APN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4465 NORTHPARK DR STE 210
COLORADO SPRINGS CO
80907-4238
US

IV. Provider business mailing address

4465 NORTHPARK DR STE 208
COLORADO SPRINGS CO
80907-4238
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-7499
  • Fax: 720-851-0339
Mailing address:
  • Phone: 720-295-7499
  • Fax: 720-851-0339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0991294-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: