Individual
MRS. STEPHANIE LYNN STACHITUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL, 7500 COCHRANE ST, FORT CARSON, CO 80913-4604
(719) 526-7030
(719) 526-7097
Mailing address
1650 COCHRANE CIRCLE, DEPT OF THE ARMY USA MEDDAC EVANS ARMY COMM. HOSP, FT CARSON, CO 80913-4604
(719) 526-7649
(719) 526-7019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125206
CO
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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