Individual
BETHANY MICHELLE HEINRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3910 S CAREFREE CIR STE F, COLORADO SPRINGS, CO 80917-3053
(719) 635-3764
Mailing address
6153 RADIANT SKY LN, COLORADO SPRINGS, CO 80924-2093
(719) 243-9802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1625448
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.00998715-NP
CO
Other
Enumeration date
06/27/2022
Last updated
10/03/2023
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