Healthcare Provider Details

I. General information

NPI: 1760423024
Provider Name (Legal Business Name): ANN M BELFIGLIO R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: ANN R. MCCLOSKEY R.N.

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR ATTN:MCXE-PCC-PEDS
FORT CARSON CO
80913-4603
US

IV. Provider business mailing address

5015 LANGDALE WAY
COLORADO SPRINGS CO
80906-7673
US

V. Phone/Fax

Practice location:
  • Phone: 719-524-4037
  • Fax: 719-526-7673
Mailing address:
  • Phone: 719-576-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN-113895
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: