Individual
JULIE GRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1322 N ACADEMY BLVD STE 114C, COLORADO SPRINGS, CO 80909-3327
(719) 428-1210
(719) 428-1211
Mailing address
13395 VOYAGER PKWY STE 130 #1103, STE 30 #1103, COLORADO SPRINGS, CO 80921-3669
(719) 396-2970
(719) 428-1211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0101823
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90022046
—
CO
Enumeration date
02/05/2022
Last updated
06/17/2024
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