Individual
SAMMIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
2739 ANNELISE WAY, FORT COLLINS, CO 80525-7635
(307) 259-0601
Mailing address
2739 ANNELISE WAY, FORT COLLINS, CO 80525-7635
(307) 259-0601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17744.1578
WY
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0992851-NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0992851-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17744.1578
WYOMING STATE BOARD OF NURSING - ADVANCED PRACTICE REGISTERED NURSE
WY
01
—
APN.0992851-NP
COLORADO BOARD OF NURSING
CO
01
—
RXN.0102897-NP
COLORADO BOARD OF NURSING
CO
Enumeration date
12/16/2016
Last updated
03/06/2023
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