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STEFFANIE LYNN ONTIVEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
600 EVANS RD, CANON CITY, CO 81212
(719) 269-5080
Mailing address
1067 CLOVER AVE, CANON CITY, CO 81212-2222
(719) 371-1289

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994436
CO

Other

Enumeration date
03/13/2019
Last updated
05/24/2021
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