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STEPHANIE CC YU CHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CPNP

Contact information

Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
(719) 418-2123
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
(719) 633-4613

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
991605
CO
363LP0200X
Pediatric Nurse Practitioner
590290
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
RXN0101155NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
590290
TX RN LICENSE
TX
05
94435821
CO
01
APN.0091605-NP
COLORADO ADVANCE PRACTICE LICENSE
CO
Enumeration date
11/18/2010
Last updated
09/10/2018
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