| NPI | 1174070536 |
|---|---|
| Former Name | LEANDREA STOUFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002328-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 1642577) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV WV107150) | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2023-04-26 |