Individual
JEANNE K STOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8200 E BELLEVIEW AVE STE 102, GREENWOOD VILLAGE, CO 80111-2804
(303) 761-9190
(303) 761-6278
Mailing address
10700 E GEDDES AVE, # 200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(303) 761-6278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
96196
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79709273
—
CO
01
—
P00111016
RAILROAD MEDICARE MIC
CO
Enumeration date
08/07/2006
Last updated
11/01/2007
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