Individual
ANITA J SICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2610 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906-3981
(719) 538-5718
(719) 226-8669
Mailing address
2 S CASCADE AVE, STE 140, COLORADO SPRINGS, CO 80903-1604
(765) 289-5006
(765) 213-4953
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
MS0619277
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273496
BCBS
IN
Enumeration date
03/07/2007
Last updated
06/23/2016
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