Individual
SOPHEANY KON STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7000
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
49981
HI
363LF0000X
Family Nurse Practitioner
Primary
1468
HI
Other
Enumeration date
01/24/2006
Last updated
07/21/2022
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