Provider Demographics
NPI:1073780151
Name:TESTERMAN, STEFANY R (FNP-C)
Entity Type:Individual
Prefix:
First Name:STEFANY
Middle Name:R
Last Name:TESTERMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:STEFANY
Other - Middle Name:R
Other - Last Name:CARSTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6551 S REVERE PKWY STE 270
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6471
Mailing Address - Country:US
Mailing Address - Phone:303-210-6843
Mailing Address - Fax:720-596-4576
Practice Address - Street 1:6551 S REVERE PKWY STE 270
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6471
Practice Address - Country:US
Practice Address - Phone:303-210-6843
Practice Address - Fax:720-596-4576
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP-5795363LF0000X
CO005795-NP363LF0000X
CORXP-1058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO469351YQ3LMedicare PIN
COC376408Medicare PIN
CO469351YQN9Medicare PIN
CO469351YQPGMedicare PIN
COCO304943Medicare PIN