Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN.0996546-NP | CO |
NPI | 1003480302 |
---|---|
Provider Name | Mrs. Michelle R Stelter |
First Address | Lone Tree, CO 80124-5525 |
Second Address | Lone Tree, CO 80124-5525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2021 |
Last Update Date | 27/01/2022 |