Individual
JOHN ROBERT HIMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1400 E BOULDER ST STE 700, COLORADO SPRINGS, CO 80909-5599
(719) 365-5000
(719) 365-8445
Mailing address
4575 STAR RANCH RD, COLORADO SPRINGS, CO 80906-7651
(719) 216-3012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99711
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21276749
—
CO
Enumeration date
01/20/2006
Last updated
02/22/2021
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