Individual
NANCY PRANTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
410 GOLD PASS HTS, COLORADO SPRINGS, CO 80906-3882
(719) 632-5700
(719) 344-7817
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 344-7158
(719) 344-7837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0991893-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15770052
—
CO
Enumeration date
08/27/2015
Last updated
04/04/2017
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