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NPI Code Detail

MEDICARE: AUTHUMN NICHOLE SANTELLANA DNP, FNP-BC

MEDICARE: AUTHUMN NICHOLE SANTELLANA DNP, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0995021-NPCO
2363LF0000XFamily Nurse PractitionerAPN-0995021-NPCO
3363LF0000XFamily Nurse Practitioner099521CO

General Provider Information

NPI Number : 1700316148
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTHUMN NICHOLE SANTELLANA DNP, FNP-BC
Provider Business Mailing Address
First Line : 407 S 7TH ST
Second Line :
City : LAMAR
State : CO
Zip : 81052-2729
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2472 PATTERSON RD UNIT 5
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-1100
Country : US
Telephone Number : 970-773-1602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2017
Last Update Date : 01/19/2026

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