Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESERIEE STOFFERAHN
Active Sole ProprietorDESERIEE STOFFERAHN is a Gerontological Nurse Practitioner healthcare provider located in ROCK SPRINGS, Wyoming. NPI 1457003139 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ROCK SPRINGS, WY
Registration Details
- NPI Number
- 1457003139
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2022 (4.5097881232424 yrs)
- Last Updated
- Sep 12, 2024
- Licenses
-
49265 (WY)49265 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3000 COLLEGE DRROCK SPRINGS, WY, 829014202Browse WY providers · Browse ZIP 82901
- Phone
- 3072127708
- Fax
- 3073528148
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.