Provider Demographics
NPI:1841150034
Name:STAHL, STEVEN (RN)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:STAHL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 ALAMO DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4657
Mailing Address - Country:US
Mailing Address - Phone:970-946-6886
Mailing Address - Fax:
Practice Address - Street 1:127 ALAMO DR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4657
Practice Address - Country:US
Practice Address - Phone:970-946-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA732637163WC0200X
CO0184227163WF0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WF0300XNursing Service ProvidersRegistered NurseFlight
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine