Individual
MS. PHYLLIS AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4863 N. NEVADA AVENUE, COLORADO SPRINGS, CO 80918
(719) 255-8001
Mailing address
4863 N. NEVADA AVENUE, COLORADO SPRINGS, CO 80918
(719) 255-4419
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RNX163309
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12107875
—
CO
Enumeration date
01/18/2006
Last updated
12/13/2016
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