Individual
MRS. NANCY STARK STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4200 E. 9TH AVENUE, DENVER, CO 80262-0001
(303) 372-6341
Mailing address
29011 UPPER MOSS ROCK RD, GOLDEN, CO 80401-9722
(303) 526-5799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83067
CO
367500000X
Certified Registered Nurse Anesthetist
37467
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-197
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44273878
—
CO
Enumeration date
06/29/2006
Last updated
01/05/2010
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