STACI COLOVOS

OGDEN, UT
NPI1366786261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: UT  6527571-4405)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
-- STACI COLOVOS ACNP
4401 HARRISON BLVD
OGDEN, UT 84403
Phone number: 801-627-2800
Mailing Address
-- STACI COLOVOS ACNP
2421 WEST PRATT BLVD #304
CHICAGO, IL 60645
Phone number: 773-447-8819
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