Healthcare Provider Details

I. General information

NPI: 1073831103
Provider Name (Legal Business Name): FAMILY INTEGRATIVE HEALTH CENTER OF COLORADO SPRINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 W. SERENDIPITY CIRCLE SUITE 100
COLORADO SPRINGS CO
80917
US

IV. Provider business mailing address

2850 W. SERENDIPITY CIRCLE SUITE 100
COLORADO SPRINGS CO
80917
US

V. Phone/Fax

Practice location:
  • Phone: 719-599-5668
  • Fax: 719-599-7467
Mailing address:
  • Phone: 719-599-5668
  • Fax: 719-599-7467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JUDY CHRISTINE BRIGGS
Title or Position: OWNER / PRESIDENT
Credential: FNP-C
Phone: 719-599-5668