Healthcare Provider Details

I. General information

NPI: 1043754880
Provider Name (Legal Business Name): ALETHEA HOEWISCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALETHEA MAESTAS FNP

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 07/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 BRIARGATE PKWY STE 465
COLORADO SPRINGS CO
80920-7839
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-477-0211
  • Fax: 719-477-0511
Mailing address:
  • Phone: 970-624-4034
  • Fax: 970-490-4347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0992765-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: