Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APN.0992668-NP | CO |
N | 363LA2200X | Nurse Practitioner - Adult Health | APN.0992668-NP | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0992668-NP | CO |
N | 363LG0600X | Nurse Practitioner - Gerontology | APN.0992668-NP | CO |
NPI | 1083169494 |
---|---|
Provider Name | Ms. Kelsey Aliabadi |
First Address | Fort Collins, CO 80528-3403 |
Second Address | Fort Collins, CO 80528-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2016 |
Last Update Date | 23/04/2020 |