# GLOW WELLNESS AND WEIGHT LOSS LIMITED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447047022
- **Authorized official:** STEPHANIE MARTIN (CEO)
- **Authorized official phone:** (970) 690-3309

## Contact information

- **Practice address:** 1136 E STUART ST STE 4202, FORT COLLINS, CO 80525-1193
- **Practice address phone:** (970) 690-3309
- **Mailing address:** 1136 E STUART ST STE 4202, FORT COLLINS, CO 80525-1193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 07/17/2025