Healthcare Provider Details

I. General information

NPI: 1992830798
Provider Name (Legal Business Name): STEPHANIE J FINK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE JEAN TAYLOR NP

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/16/2022
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2997 BROADMOOR VALLEY RD
COLORADO SPRINGS CO
80906-4405
US

IV. Provider business mailing address

2997 BROADMOOR VALLEY RD
COLORADO SPRINGS CO
80906-4405
US

V. Phone/Fax

Practice location:
  • Phone: 719-355-7333
  • Fax:
Mailing address:
  • Phone: 719-355-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN.0996652-CNM
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number613408
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number9195082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: