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Contact Information

DESERIEE STOFFERAHN
3000 COLLEGE DR
ROCK SPRINGS, WY82901-4202
 Phone: 307-212-7708
 Fax: 307-352-8148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DESERIEE STOFFERAHN · (Female)

NPI # 1457003139
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2022
Last updated 09/12/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 49265
Hospital affiliation(s)
  • MEMORIAL HOSPITAL SWEETWATER COUNTY - (Acute Care)
    1200 COLLEGE DRIVE
    ROCK SPRINGS, WY 82901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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