Individual
SUSAN MICHELLE GULYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4426 SLIDE CIR, COLORADO SPRINGS, CO 80917-2935
(719) 747-2657
Mailing address
2955 NEW CENTER PT # 1126, COLORADO SPRINGS, CO 80922-2806
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
APN.0997057-NP
CO
363LF0000X
Family Nurse Practitioner
24835.1667
WY
363LF0000X
Family Nurse Practitioner
Primary
APN.0997057-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24835.1667
APRN LICENSE
WY
Enumeration date
09/13/2017
Last updated
05/12/2024
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