Individual
STACY ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2000
Mailing address
PO BOX 1653, SALIDA, CO 81201-1652
(719) 239-1673
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
165566
CO
163WR0006X
Registered Nurse First Assistant
180729
AK
363LF0000X
Family Nurse Practitioner
180792
AK
363LP2300X
Primary Care Nurse Practitioner
Primary
0996383-NP
CO
Other
Enumeration date
01/28/2021
Last updated
10/25/2023
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