Individual
MARY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3920 N UNION BLVD STE 150, COLORADO SPRINGS, CO 80907-1907
(719) 694-3595
(719) 493-9936
Mailing address
3920 N UNION BLVD STE 150, COLORADO SPRINGS, CO 80907-1907
(719) 694-3595
(719) 493-9936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000488-NP
CO
Other
Enumeration date
01/27/2025
Last updated
05/05/2026
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