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STEPHANIE SUE GICONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5203
Mailing address
1759 N HERON DR, PUEBLO WEST, CO 81007-3410
(719) 406-2912

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN172556
CO
363LN0000X
Neonatal Nurse Practitioner
Primary
NP-990158
CO

Other

Enumeration date
05/04/2011
Last updated
08/19/2011
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