Individual
STEPHANIE CHING WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-3397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0994826-NP
CO
Other
Enumeration date
08/27/2019
Last updated
05/14/2021
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