Kelley, Wanda Elaine

Kelley, Wanda Elaine is an individual health care provider with primary practice located at Colorado State University Hartshorn Health Service 8031 Campus Delivery, Fort Collins CO 80523-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is her primary health care specialty. Kelley, Wanda Elaine can be contacted via phone (970) 491-7121.

Contact Information

Primary practice address
Colorado State University Hartshorn Health Service 8031 Campus Delivery Fort Collins CO 80523-0001
Phone: (970) 491-7121
Fax: (970) 491-0268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 63998 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 109125-22 Colorado

Profile Details

NPI number 1033153804
LBN Legal business name Kelley, Wanda Elaine
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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