Organization
GLOW WELLNESS AND WEIGHT LOSS LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MARTIN (CEO)
(970) 690-3309
Entity
Organization
Contact information
Practice address
1136 E STUART ST STE 4202, FORT COLLINS, CO 80525-1193
(970) 690-3309
Mailing address
1136 E STUART ST STE 4202, FORT COLLINS, CO 80525-1193
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
07/17/2025
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