Organization · Type 2 NPI

Beacon Wound Care PLLC

Nurse Practitioner · Colorado Springs, CO

NPI number 1174436240 Active

Practice location

864 N 19th St
Colorado Springs, CO 80904-3086

Mailing address

9980 Silver Maple Rd
Highlands Ranch, CO 80129-5469

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174436240

Beacon Wound Care PLLC's National Provider Identifier is 1174436240, issued on Sep 28, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 28, 2026.