MEDICARE: MRS. HEIDI LYNN STETLER LPN

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	164W00000X	Licensed Practical Nurse	36999	CO

General Provider Information

NPI Number	:	1992784029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEIDI LYNN STETLER LPN

Provider Business Mailing Address
First Line	:	2339 STEPPING STONES WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-2759
Country	:	US
Telephone Number	:	719-634-0767
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 COCHRANE CR
Second Line	:
City	:	FT. CARSON
State	:	CO
Zip	:	80913
Country	:	US
Telephone Number	:	719-526-7030
Fax Number	:

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	01/25/2026

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