Individual
STACEY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
125686
CO
363LP0200X
Pediatric Nurse Practitioner
125686
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77455274
—
CO
Enumeration date
02/01/2007
Last updated
07/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us