Individual
STEPHANIE E NUSSBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2206
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4391
CO
363LF0000X
Family Nurse Practitioner
Primary
4391
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33236038
—
CO
Enumeration date
03/01/2006
Last updated
03/17/2021
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