Individual
MRS. ALEATHIA CHANNEL WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6140 TUTT BLVD STE 200, COLORADO SPRINGS, CO 80923
(719) 380-6800
(719) 380-6815
Mailing address
6140 TUTT BLVD STE 200, COLORADO SPRINGS, CO 80923-3576
(719) 380-6800
(719) 380-6815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN0005996-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
110229 / 5996
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91224560
—
CO
Enumeration date
05/13/2009
Last updated
01/28/2019
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