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NPI 1992331573

NPI 1992331573 : KRYSTAL NICOLE SHELTON PMHNP, FNP, CRNP : PARKER, CO

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General NPI Number Information
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    NPI Number           |    1992331573
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    Entity Type          |    Individual 
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    Provider Name        |    KRYSTAL NICOLE SHELTON PMHNP, FNP, CRNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/16/2020
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    12760 STROH RANCH WAY STE 203 
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    City                 |    PARKER
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    State                |    CO
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    Zip                  |    80134-7507
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    Country              |    US
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    Telephone            |    720-458-5413
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    Fax                  |    720-815-0397
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Provider Business Mailing Address
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    Address Line         |    16592 HIGH DESERT PL 
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    City                 |    PARKER
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    State                |    CO
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    Zip                  |    80134-3044
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    Country              |    US
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    Telephone            |    720-458-5413
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    Fax                  |    720-815-0397
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    C-APN.0104280-C-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       |    1-146984
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    License Number State |    AL
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