Stephanie Ching Wong, NP
Nurse Practitioner in Lafayette, CO. Individual provider (NPI-1).
NPI number1962050591
StatusActive
Last updated in NPPESMay 14, 2021
Details
- NPI
- 1962050591
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Ching Wong
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2019
- Certification date
- May 14, 2021
- Last updated
- May 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN0994826-NP | CO | Yes |
Practice location
1735 S Public Rd Ste 203Lafayette, CO 80026-7093
Phone 303-665-3036
Mailing address
1735 S Public Rd Ste 203Lafayette, CO 80026-7093
Phone 303-665-3036 · Fax 303-665-3397
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