Individual
STACI L RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9480 BRIAR VILLAGE PT STE 200, COLORADO SPRINGS, CO 80920-7923
(719) 278-3627
Mailing address
9480 BRIAR VILLAGE PT STE 200, COLORADO SPRINGS, CO 80920-7923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0992511-NP
CO
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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