Healthcare Provider Details

I. General information

NPI: 1174486575
Provider Name (Legal Business Name): DEBORAH ANN OLFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 ACADEMY CIR STE 203
COLORADO SPRINGS CO
80909-1600
US

IV. Provider business mailing address

10547 SUMMER RIDGE DR
PEYTON CO
80831-3826
US

V. Phone/Fax

Practice location:
  • Phone: 719-205-0184
  • Fax:
Mailing address:
  • Phone: 719-629-8380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1001447-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: