Healthcare Provider Details

I. General information

NPI: 1467156273
Provider Name (Legal Business Name): ELIZABETH CROWDER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 S CASCADE AVE
COLORADO SPRINGS CO
80903-3809
US

IV. Provider business mailing address

411 S CASCADE AVE
COLORADO SPRINGS CO
80903-3809
US

V. Phone/Fax

Practice location:
  • Phone: 469-338-1872
  • Fax: 888-316-2927
Mailing address:
  • Phone: 469-338-1872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0102534-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1109838
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: