Individual
STEPHANIE LAURAINE HANENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1420 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-3733
(719) 262-4444
(719) 262-4446
Mailing address
1420 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-3733
(719) 262-4444
(719) 262-4446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102754
CO
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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