STACI L RUDDY

COLORADO SPRINGS, CO
NPI1609321439
Former NameSTACI L BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0992511-NP)
Enumeration Date2016-08-22
Last Update Date2016-08-22
Business Address
-- STACI L RUDDY FNP-C
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920-7923
Phone number: 719-278-3627
Mailing Address
-- STACI L RUDDY FNP-C
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920-7923
Phone number:
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