Individual
STACY LEE CABBAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844
Mailing address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990793-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31329047
—
CO
Enumeration date
09/15/2013
Last updated
03/22/2016
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