Individual
STEPHANIE L SALBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
332 S ORCHARD SPRINGS DR, SUITE 150, PUEBLO, CO 81007-6151
(719) 253-7640
(719) 253-7644
Mailing address
332 S ORCHARD SPRINGS DR, 150, PUEBLO, CO 81007-6151
(719) 253-7640
(719) 253-7644
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0990547
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00204064
—
CO
Enumeration date
01/11/2013
Last updated
03/17/2016
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