Kelley, Maria

Kelley, Maria is an individual health care provider with primary practice located at 2121 E Harmony Rd Unit 100 , Fort Collins CO 80528-3401. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kelley, Maria can be contacted via phone (970) 221-1000.

Contact Information

Primary practice address
2121 E Harmony Rd Unit 100 Fort Collins CO 80528-3401
Phone: (970) 221-1000
Fax: (970) 297-6844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0992709-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN.0992709-NP Colorado
Nursing Service Providers / Registered Nurse 163W00000X 0198115 Colorado

Profile Details

NPI number 1326597683
LBN Legal business name Kelley, Maria
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2016
Last updated Nov 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326597683 NPPES
Colorado MEDICAID PENDING

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