Provider Demographics
NPI:1811668668
Name:SPOOLSTRA, BRITTANY A (BSN, RN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:SPOOLSTRA
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:LAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 SUMMIT BLVD APT 6207
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8367
Mailing Address - Country:US
Mailing Address - Phone:616-328-9078
Mailing Address - Fax:
Practice Address - Street 1:1455 DIXON AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8879
Practice Address - Country:US
Practice Address - Phone:303-443-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1674736163WP0807X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent