Individual
RACHAEL LYNN STALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
655 BULWARK RIDGE DRIVE, GLEN HAVEN, CO 80532
(970) 577-1417
Mailing address
655 BULWARK RIDGE DRIVE, GLEN HAVEN, CO 80532
(970) 577-1417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0991024-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35831383
—
CO
Enumeration date
02/08/2014
Last updated
05/19/2016
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