Provider Demographics
NPI:1477443703
Name:STUTZMAN, COLLEEN E
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:E
Last Name:STUTZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ENGLISH
Mailing Address - State:IA
Mailing Address - Zip Code:52316-9545
Mailing Address - Country:US
Mailing Address - Phone:319-430-3995
Mailing Address - Fax:
Practice Address - Street 1:120 S WEST ST
Practice Address - Street 2:
Practice Address - City:NORTH ENGLISH
Practice Address - State:IA
Practice Address - Zip Code:52316-9545
Practice Address - Country:US
Practice Address - Phone:319-430-3995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach