Organization · Type 2 NPI
Stacy Green Enterprises, LLC
Health Service Clinic/Center · Boulder, CO
NPI number
1871262253
Active
Practice location
825 S Broadway St Ste 100
Boulder, CO 80305-5932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1871262253
Stacy Green Enterprises, LLC's National Provider Identifier is 1871262253, issued on Sep 9, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Boulder, CO. The record was last updated on Oct 22, 2025.