Individual
DESERIEE STOFFERAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 COLLEGE DR, ROCK SPRINGS, WY 82901-4202
(307) 212-7708
(307) 352-8148
Mailing address
3000 COLLEGE DR, ROCK SPRINGS, WY 82901-4202
(307) 212-7708
(307) 352-8148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
49265
WY
363LG0600X
Gerontology Nurse Practitioner
Primary
49265
WY
Other
Enumeration date
01/24/2022
Last updated
09/12/2024
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