Healthcare Provider Details

I. General information

NPI: 1992046007
Provider Name (Legal Business Name): SUSAN ELIZABETH MEBEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN ELIZABETH KELLY ARNP

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 S LINCOLN AVE STE A
STEAMBOAT SPRINGS CO
80487-1790
US

IV. Provider business mailing address

440 SEVEN HILLS DR
BOULDER CO
80302-9737
US

V. Phone/Fax

Practice location:
  • Phone: 970-871-2363
  • Fax: 970-871-2362
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11008598
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN218214
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0992170-NP
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0992170-NP
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN218214
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: