Stacy Lynn Mulkey, N.D.
Individual provider Active NPI Naturopath · Durango, CO
NPI 1366658288 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1366658288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 04-798 (AZ)
- Practice address
- 1800 E 3Rd Ave Ste 112
Durango, CO 81301-5046 - Phone
- (970) 247-2043
- Fax
- (970) 247-3228
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-798 | AZ | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 04-798 | AZ | Yes |
Addresses
Primary practice location
1800 E 3Rd Ave Ste 112
Durango, CO 81301-5046
Mailing address
1800 E 3Rd Ave Ste 112
Durango, CO 81301-5046
Phone (970) 247-2043
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.