=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023244480
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE E. JOYCE FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2009
-----------------------------------------------------
Last Update Date | 11/18/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1625 MEDICAL CENTER PT SUITE 190
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80907-8731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-955-6000
-----------------------------------------------------
Fax | 719-955-9595
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1263 LAKE PLAZA DR 120
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80906-3510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-766-3330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 124963
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------