Individual
KATIE STASIOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3795 DEPEW ST UNIT A, WHEAT RIDGE, CO 80212-7191
(303) 229-6449
Mailing address
3795 DEPEW ST UNIT A, WHEAT RIDGE, CO 80212-7191
(303) 229-6449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1620359
CO
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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