Individual
ADAM STATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP, MSN, RN
Contact information
Practice address
2121 E HARMONY RD UNIT 160, FORT COLLINS, CO 80528-3413
(970) 482-3328
(970) 482-1433
Mailing address
2121 E HARMONY RD UNIT 160, FORT COLLINS, CO 80528-3413
(970) 482-3328
(970) 482-1433
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0998550-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000197411
—
CO
Enumeration date
10/30/2017
Last updated
07/03/2024
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