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NPI Code Detail

MEDICARE: STEPHANIE CALABRESE

MEDICARE: STEPHANIE CALABRESE
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
1163WL0100XLactation Consultant (Registered Nurse)L-314471CO

General Provider Information

NPI Number : 1689520983
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE CALABRESE
Provider Business Mailing Address
First Line : 6401 E 17TH AVENUE PKWY
Second Line :
City : DENVER
State : CO
Zip : 80220-1613
Country : US
Telephone Number : 303-990-1957
Fax Number :
Provider Business Practice Location Address
First Line : 6401 E 17TH AVENUE PKWY
Second Line :
City : DENVER
State : CO
Zip : 80220-1613
Country : US
Telephone Number : 303-990-1957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ STEPHANIE CALABRESE ” Practice Location

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