Individual
ERIN RENEE HENZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E BOULDER ST STE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
Mailing address
1400 E BOULDER ST STE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601006022
MI
363A00000X
Physician Assistant
Primary
PA.0004072
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60850272
—
CO
Enumeration date
07/22/2011
Last updated
02/10/2017
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