Individual
MS. MARY LYNNE STILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3205 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5101
(719) 776-3443
(719) 776-3149
Mailing address
2314 N CHELTON RD, COLORADO SPRINGS, CO 80909-1306
(719) 596-2949
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
94344
CO
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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