Individual
STACY SHOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 242-0920
Mailing address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 242-0920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0995738-NP
CO
Other
Enumeration date
07/30/2020
Last updated
03/02/2022
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