MEDICARE: MRS. BRITTANY ANN OMER FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	C-APN.0105993-C-NP	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900521	OTHER	TX	TEXAS BOARD OF NURSING REGISTERED NURSE
2	1056696	OTHER	TX	TEXAS BOARD OF NURSING APRN LICENSE

General Provider Information

NPI Number	:	1003578873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY ANN OMER FNP-C

Provider Business Mailing Address
First Line	:	1465 KELLY JOHNSON BLVD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3947
Country	:	US
Telephone Number	:	719-726-6573
Fax Number	:	719-698-7879

Provider Business Practice Location Address
First Line	:	1465 KELLY JOHNSON BLVD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3947
Country	:	US
Telephone Number	:	719-726-6573
Fax Number	:	719-698-7879

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	04/06/2026

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