Colovos, Staci

Colovos, Staci is an sole proprietor health care provider with primary practice located at 4401 Harrison Blvd , Ogden UT 84403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Colovos, Staci can be contacted via phone (801) 627-2800.

Contact Information

Primary practice address
4401 Harrison Blvd Ogden UT 84403
Phone: (801) 627-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 6527571-4405 Utah

Profile Details

NPI number 1366786261
LBN Legal business name Colovos, Staci
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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