Provider Demographics
NPI:1821247289
Name:RUMLEY, LAURIE ELLEN (PMHNP)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:ELLEN
Last Name:RUMLEY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3745 BECKET DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4811
Mailing Address - Country:US
Mailing Address - Phone:719-464-8974
Mailing Address - Fax:
Practice Address - Street 1:COTTONWOOD CREEK WELLNESS CENTER
Practice Address - Street 2:3280 E. WOODMEN RD, SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3586
Practice Address - Country:US
Practice Address - Phone:719-445-6744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21110363LP0808X, 363LP0808X
CO01644-C-NP363LP0808X
COC-RXN01644-CNP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health