Individual
NICOLE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30999 COUNTY ROAD 15 BLDG 5, LAS ANIMAS, CO 81054-9499
(719) 662-1142
(719) 662-1149
Mailing address
245 VINE AVE, LAS ANIMAS, CO 81054-1039
(719) 456-2653
(719) 456-0105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0201279
CO
Other
Enumeration date
02/25/2015
Last updated
02/27/2018
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