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NPI Code Detail

MEDICARE: CARMEN MARIE HOLLIS NNP-BC

MEDICARE:   CARMEN MARIE HOLLIS  NNP-BC
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
1163WN0002XNeonatal Intensive Care Registered NurseRN.1633167CO
2363LN0000XNeonatal Nurse PractitionerAPN.0997751-NPCO

General Provider Information

NPI Number : 1568192185
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN MARIE HOLLIS NNP-BC
Provider Business Mailing Address
First Line : 6467 ALIBI CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-3876
Country : US
Telephone Number : 719-271-2000
Fax Number :
Provider Business Practice Location Address
First Line : 6001 E WOODMEN RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-2601
Country : US
Telephone Number : 719-571-3755
Fax Number : 719-571-8410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2022
Last Update Date : 01/08/2026

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Directions to “ CARMEN MARIE HOLLIS NNP-BC” Practice Location

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