Individual
ERICA JEANETTE FEDEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3604 GALLEY RD, COLORADO SPRINGS, CO 80909-4302
(719) 602-3394
(719) 602-3397
Mailing address
3604 GALLEY RD, COLORADO SPRINGS, CO 80909-4302
(719) 602-3394
(719) 602-3397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN-0994629-NP
CO
Other
Enumeration date
12/11/2019
Last updated
06/11/2024
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