Individual
MRS. CHALANNE STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3676 PARKER BLVD STE 260, PUEBLO, CO 81008-2282
(719) 553-2201
Mailing address
3001 HIGH ST, PUEBLO, CO 81008-1245
(719) 947-5821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998164-NP
CO
Other
Enumeration date
11/02/2022
Last updated
11/04/2025
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