Individual
STACEY L O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
802 W DRAKE RD STE 101, FORT COLLINS, CO 80526-5567
(970) 494-6449
Mailing address
802 W DRAKE RD STE 101, FORT COLLINS, CO 80526-5567
(970) 494-6449
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0991431-NP
CO
363LA2100X
Acute Care Nurse Practitioner
SP008865
PA
Other
Enumeration date
11/21/2008
Last updated
01/04/2016
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