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General NPI Number Information
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NPI Number | 1750442323
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Entity Type | Individual
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Provider Name | CARLA A KEAHEY ACNS, FNP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 1755 48TH ST STE 200
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City | BOULDER
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State | CO
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Zip | 80301
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Country | US
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Telephone | 303-415-7450
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Fax | 303-494-5265
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Provider Business Mailing Address
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Address Line | PO BOX 9049
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City | BOULDER
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State | CO
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Zip | 80301-9049
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Country | US
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Telephone | 303-415-7450
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Fax | 303-494-5265
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | APN.0992283-CNS
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0994429-NP
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License Number State | CO
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