Individual
STACY GRACE PAZIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(763) 412-1993
(888) 972-8341
Mailing address
3631 HAVEN CIR, COLORADO SPRINGS, CO 80917-2017
(609) 458-4273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998239-NP
CO
Other
Enumeration date
10/13/2023
Last updated
03/18/2024
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