Ms. Kelly Lynn Sandberg
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
1400 E Boulder St
Colorado Springs
, Colorado 80909-5533
Ms. Kelly Lynn Sandberg
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
1400 E Boulder St
Colorado Springs
, Colorado 80909-5533
(303) 306-7753
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Ms. Kelly Lynn Sandberg
- Po Box 173891
- Denver, CO
- Zip : 80217-3891
- Fax : (303) 306-7753
- Phone : (303) 306-7783
Second Address
- Ms. Kelly Lynn Sandberg
- 1400 E Boulder St
- Colorado Springs, CO
- Zip : 80909-5533
- Fax : (303) 306-7753
- Phone : (719) 365-5000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 0990636 | CO |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0990636-NP | CO |
National Provider Identifier
| NPI | 1538408729 |
|---|---|
| Provider Name | Ms. Kelly Lynn Sandberg |
| First Address | Denver, CO 80217-3891 |
| Second Address | Colorado Springs, CO 80909-5533 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2013 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 285849YKRD | (02) | CO |
| 34834320 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.