Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 89152 | CO |
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN.0004200 | CO |
NPI | 1124351523 |
---|---|
Provider Name | Ms. Joann Engle |
First Address | Colorado Springs, CO 80933 |
Second Address | Colorado Springs, CO 80923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2009 |
Last Update Date | 01/12/2020 |