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NPI Code Detail

MEDICARE: SUNSHINE CELESTINA STELLMON FNP

MEDICARE: SUNSHINE CELESTINA STELLMON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianCNP-02757NM
2363LF0000XFamily Nurse PractitionerAPN.0995607-NPCO

General Provider Information

NPI Number : 1487170502
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNSHINE CELESTINA STELLMON FNP
Provider Business Mailing Address
First Line : 2320 LODGEPOLE CREEK DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3136
Country : US
Telephone Number : 505-363-1779
Fax Number :
Provider Business Practice Location Address
First Line : 1100 HAXTON DR UNIT 100
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-6213
Country : US
Telephone Number : 970-223-1211
Fax Number : 970-444-2220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 02/08/2021

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Directions to “ SUNSHINE CELESTINA STELLMON FNP” Practice Location

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