Individual
DR. STEPHANIE VAN NORTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(405) 612-1566
Mailing address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL.0011575
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0011575
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/18/2026
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