Healthcare Provider Details

I. General information

NPI: 1295051274
Provider Name (Legal Business Name): STACI HARTMAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S BELLAIRE ST STE 700
DENVER CO
80222-4312
US

IV. Provider business mailing address

2770 ARAPAHOE RD STE 132
LAFAYETTE CO
80026-8016
US

V. Phone/Fax

Practice location:
  • Phone: 866-932-7185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0060518
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: