Healthcare Provider Details

I. General information

NPI: 1265951990
Provider Name (Legal Business Name): KELLY ELIZABETH CRITCHLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 W COLORADO AVE
COLORADO SPRINGS CO
80904-3838
US

IV. Provider business mailing address

1923 W COLORADO AVE
COLORADO SPRINGS CO
80904-3838
US

V. Phone/Fax

Practice location:
  • Phone: 303-600-8563
  • Fax: 877-805-7372
Mailing address:
  • Phone: 303-600-8563
  • Fax: 877-805-7372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1638378
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0998206-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRXN.0107186-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: