Individual
STACEY KAY MOLINAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1128 EAGLERIDGE BLVD, PUEBLO, CO 81008-2103
(719) 778-1414
Mailing address
378 KELSEY CT, FLORENCE, CO 81226-7509
(719) 371-8833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0990429-NP
CO
Other
Enumeration date
02/21/2013
Last updated
01/06/2020
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