Provider Demographics
NPI:1720376007
Name:STONEBACK, MARGARET ELIZABETH (RN, APN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:STONEBACK
Suffix:
Gender:F
Credentials:RN, APN, PMHNP-BC
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Other - First Name:
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Mailing Address - Street 1:700 BELFORD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3171
Mailing Address - Country:US
Mailing Address - Phone:970-812-7339
Mailing Address - Fax:844-888-1231
Practice Address - Street 1:700 BELFORD AVE STE 102
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3171
Practice Address - Country:US
Practice Address - Phone:970-812-7339
Practice Address - Fax:970-281-4234
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO0990136363LP0808X
CO990136363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health