Healthcare Provider Details

I. General information

NPI: 1457736266
Provider Name (Legal Business Name): NATALIE MICHELLE ERB DNP, PMHMP-BC, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2993 BROADMOOR VALLEY RD STE 103
COLORADO SPRINGS CO
80906-4471
US

IV. Provider business mailing address

PO BOX 7035
SURPRISE AZ
85374-0100
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-7731
  • Fax: 719-434-9730
Mailing address:
  • Phone: 719-301-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.0112627
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11027052
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCAPN.0100917-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: