Individual
STEPHANIE MIRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8655 E MONTVIEW BLVD STE 120, DENVER, CO 80238-4299
(720) 794-8237
Mailing address
25036 E 4TH PL, AURORA, CO 80018-1687
(720) 347-1012
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
0997812
CO
363L00000X
Nurse Practitioner
Primary
APN.0997812-NP
CO
363LF0000X
Family Nurse Practitioner
0172835
CO
Other
Enumeration date
06/25/2022
Last updated
03/09/2026
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