Individual
STACY COLVARD HOUNTRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3800 N YORK ST, DENVER, CO 80205-3540
(303) 296-1767
(303) 296-3484
Mailing address
3800 N YORK ST, DENVER, CO 80205-3540
(303) 296-1767
(303) 296-3484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0993974
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993974
COLORADO DEPARTMENT OF REGULATORY LICENSE
CO
Enumeration date
08/03/2018
Last updated
08/03/2018
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