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General NPI Number Information
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NPI Number | 1467019364
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Entity Type | Individual
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Provider Name | KESHEA DESMORNES ROUSE AGPCNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2019
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 11027 S PIKES PEAK DR STE 105
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City | PARKER
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State | CO
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Zip | 80138-7361
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Country | US
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Telephone | 303-351-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 11027 S PIKES PEAK DR STE 105
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City | PARKER
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State | CO
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Zip | 80138-7361
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Country | US
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Telephone | 303-351-2202
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | APN.1000730-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1000730-NP
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License Number State | CO
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