Individual
THERESA LOUISE GREENUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1980 DOMINION WAY STE 101, COLORADO SPRINGS, CO 80918-1475
(719) 358-6428
Mailing address
2502 E PIKES PEAK AVE STE 100, COLORADO SPRINGS, CO 80909-6089
(719) 314-2327
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
993457
CO
Other
Enumeration date
12/13/2017
Last updated
02/12/2020
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