Provider Demographics
NPI:1275844714
Name:STEPHENS, VERONICA GAY (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:GAY
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 MORNING STAR RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:CO
Mailing Address - Zip Code:81069-8960
Mailing Address - Country:US
Mailing Address - Phone:719-252-5026
Mailing Address - Fax:303-223-9280
Practice Address - Street 1:1650 COCHRANE CIRCLE, B7500
Practice Address - Street 2:EVANS ACH
Practice Address - City:FT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-5101
Practice Address - Country:US
Practice Address - Phone:719-526-8368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024098558363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health