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General NPI Number Information
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NPI Number | 1003498403
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Entity Type | Individual
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Provider Name | KELSEY LEE NORTHROP AGNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 799 E HAMPDEN AVE STE 540
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2786
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Country | US
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Telephone | 702-274-9199
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Fax |
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Provider Business Mailing Address
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Address Line | 11484 GLOWING SUNSET LN
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City | LAS VEGAS
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State | NV
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Zip | 89135-1674
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Country | US
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Telephone | 702-274-9199
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-APN.0002819-C-NP
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License Number State | CO
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