Individual
DEREK STIBBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
2304 COUNTY ROAD 102, GUFFEY, CO 80820
(720) 490-8735
Mailing address
PO BOX 267, FLORISSANT, CO 80816-0267
(720) 490-8735
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0996374
CO
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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