Individual
KATRINA RAENAE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2928 W 10TH ST, GREELEY, CO 80634-5426
(970) 584-2100
(970) 584-2101
Mailing address
1576 CLARENDON DR, WINDSOR, CO 80550-2681
(801) 388-6335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998883-NP
CO
Other
Enumeration date
07/13/2023
Last updated
12/24/2023
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