Individual
PATRICIA D BURSNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3207 N ACADEMY BLVD STE 100, COLORADO SPRINGS, CO 80917-5100
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5147
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN.0991234-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0991234-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41134273
—
CO
Enumeration date
07/07/2014
Last updated
07/15/2021
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