Healthcare Provider Details

I. General information

NPI: 1407123581
Provider Name (Legal Business Name): ELENA MIKHAILOVNA Z OLLIS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENA MIKHAILOVNA ZELTSER

II. Dates (important events)

Enumeration Date: 11/17/2011
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3207 N ACADEMY BLVD STE 3300
COLORADO SPRINGS CO
80917-5100
US

IV. Provider business mailing address

3205 N ACADEMY BLVD STE 130
COLORADO SPRINGS CO
80917-5152
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-5700
  • Fax: 719-344-7870
Mailing address:
  • Phone: 719-632-5700
  • Fax: 719-344-7865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-APN.0001572-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: