Individual
CHERYL HANSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 E 30TH ST STE 4, FARMINGTON, NM 87402-8805
(970) 599-8609
Mailing address
4880 COUNTY ROAD 134, HESPERUS, CO 81326-9573
(970) 759-1840
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.0096683
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN.0099683
—
CO
Enumeration date
09/10/2021
Last updated
09/10/2021
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