Individual
THERESE ELLEN HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1050 S ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80910-3922
(719) 574-7083
(719) 574-1226
Mailing address
1050 S ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80910-3922
(719) 574-7083
(719) 574-1226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0103679-NP
CO
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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