| Abundance Health Care | |
|
3630 Sinton Rd Ste 320 Colorado Springs CO 80907-5070 | |
| (720) 266-0544 | |
| Not Available |
| Full Name | Abundance Health Care |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3630 Sinton Rd Ste 320, Colorado Springs, Colorado |
| Authorized Official Name and Position | La Tasha Monique Bruner-hill (FNP) |
| Authorized Official Contact | 7202660544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundance Health Care 8970 April Dr Colorado Springs CO 80920-7354 Ph: (720) 266-0544 | Abundance Health Care 3630 Sinton Rd Ste 320 Colorado Springs CO 80907-5070 Ph: (720) 266-0544 |
| NPI Number | 1831814953 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 8224493309 |
|---|---|
| Medicare Enrollment ID | O20230424003047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831814953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | La Tasha M Bruner-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386161032 PECOS PAC ID: 7517233471 Enrollment ID: I20171019002168 |
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