MEDICARE: DR. STACI HARTMAN D.O.

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
1	2084P0800X	Psychiatry Physician	DR.0060518	CO

General Provider Information

NPI Number	:	1295051274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STACI HARTMAN D.O.

Provider Business Mailing Address
First Line	:	2770 ARAPAHOE RD STE 132
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-8016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 S BELLAIRE ST STE 700
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4312
Country	:	US
Telephone Number	:	866-932-7185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	06/09/2026

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