Provider Demographics
NPI:1386125631
Name:SPEETZEN, STEPHANIE J (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:J
Last Name:SPEETZEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6557 BUTTERCUP DR UNIT 6
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-2396
Mailing Address - Country:US
Mailing Address - Phone:320-420-3961
Mailing Address - Fax:
Practice Address - Street 1:6557 BUTTERCUP DR UNIT 6
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-2396
Practice Address - Country:US
Practice Address - Phone:307-222-2337
Practice Address - Fax:970-363-1441
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY40467.1790363LF0000X
CO0994114-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily