Stater, Adam

Stater, Adam is an individual health care provider with primary practice located at 2121 E Harmony Rd Unit 160 , Fort Collins CO 80528-3413. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Stater, Adam can be contacted via phone (970) 482-3328.

Contact Information

Primary practice address
2121 E Harmony Rd Unit 160 Fort Collins CO 80528-3413
Phone: (970) 482-3328
Fax: (970) 482-1433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN.0998550-NP Colorado

Profile Details

NPI number 1295247393
LBN Legal business name Stater, Adam
Credentials AG-ACNP, MSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2017
Last updated Jul 3rd, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295247393 NPPES
Colorado MEDICAID 9000197411

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