Most Relevant Information
Provider Data
| NPI Number: | 1003699562 |
| Provider Name: | STEPHANIE MARIE KIRK MSN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0999028 |
Most Important Dates
| Enumeration Date: | 08/17/2023 |
| Last Updated: | 08/17/2023 |
Provider Practice Location
1305 ESCALANTE DR STE 201
DURANGO
CO
813038932
Practice Location Phone/Fax
| Phone: | 9702470042 |
| Fax: | 9702598837 |
Provider Mailing Location
1305 ESCALANTE DR STE 201
DURANGO
CO
813038932
Provider Mailing Phone/Fax
| Phone: | 9702470042 |
| Fax: |