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NPI Code Detail

MEDICARE: UNIVERSITY OF COLORADO AT COLORADO SPRINGS

MEDICARE: UNIVERSITY OF COLORADO AT COLORADO SPRINGS
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
1261QS1000XStudent Health Clinic/Center102754CO

General Provider Information

NPI Number : 1659567782
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF COLORADO AT COLORADO SPRINGS
Provider Business Mailing Address
First Line : 1420 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3733
Country : US
Telephone Number : 719-262-4444
Fax Number : 719-262-4446
Provider Business Practice Location Address
First Line : 1420 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3733
Country : US
Telephone Number : 719-262-4444
Fax Number : 719-262-4446
Authorized Official
Title or Position : DIRECTOR SHC
Name : STEPHANIE HANENBERG
Credential : NP
Telephone Number : 719-262-4444
Provider Enumeration Date : 09/21/2007
Last Update Date : 09/21/2007

Similar Medicare Providers

1215123344 — STEPHANIE LAURAINE HANENBERG NP
Practice Location Address:
1420 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO
80918-3733
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Practice Fax: 719-262-4446
1124351028 — JENNIFER LEE CLELAND ATC
Practice Location Address:
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1497034862 — BILLIE JO BAPTISTE NP
Practice Location Address:
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COLORADO SPRINGS, CO
80918-3733
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1578826863 — SANDRA D EWER FNP
Practice Location Address:
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COLORADO SPRINGS, CO
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1689047730 — KEITH AARON KUTNAR PSYD
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1420 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO
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1679089825 — ANNA DOYEL ATC
Practice Location Address:
1420 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO
80918-3733
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Practice Fax:

Directions to “UNIVERSITY OF COLORADO AT COLORADO SPRINGS ” Practice Location

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