Individual
NICOLE LYNN STALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1905 BLAKE AVE, SUITE 101, GLENWOOD SPRINGS, CO 81601-4288
(970) 945-2840
(970) 945-2893
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-2615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AO92663
IA
363L00000X
Nurse Practitioner
AP-N0990646-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
SNP 100095
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265449128
—
IA
05
—
1426247
—
IA
Enumeration date
08/02/2006
Last updated
02/11/2026
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