Individual
NANCY LYNN STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 EAST 104 AVENUE, SUITE 115, THORNTON, CO 80233
(303) 452-2766
(303) 252-8694
Mailing address
689 SOUTH HIGH STREET, DENVER, CO 80209
(303) 733-3948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31311
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56121873
—
CO
Enumeration date
05/25/2006
Last updated
10/14/2020
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