Individual
STEPHANIE MARIE DEAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2875 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3144
(719) 389-0070
Mailing address
2875 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3144
(719) 389-0070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997580-NP
CO
Other
Enumeration date
08/22/2022
Last updated
08/24/2022
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