Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Wall, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1770621930

Stacey Wall, PNP is a Pediatric Nurse Practitioner in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 125686 (CO)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 125686 (CO)

Record details

NPI number1770621930
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing addressPo Box 110429, Aurora, CO 80042-0429

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