Provider Demographics
NPI:1003480302
Name:STELTER, MICHELLE R (APN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:R
Last Name:STELTER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:R
Other - Last Name:PYEATTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:10103 RIDGEGATE PKWY STE 221
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5525
Mailing Address - Country:US
Mailing Address - Phone:303-662-1191
Mailing Address - Fax:303-662-1343
Practice Address - Street 1:10103 RIDGEGATE PKWY STE 221
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5525
Practice Address - Country:US
Practice Address - Phone:303-662-1191
Practice Address - Fax:303-662-1342
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996546-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner