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NPI Code Detail

MEDICARE: ERIN KELLY APRN, PMHNP-BC

MEDICARE: ERIN KELLY APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11029753FL

General Provider Information

NPI Number : 1255109518
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN KELLY APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 11290 W ALAMEDA AVE STE 160
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-2510
Country : US
Telephone Number : 303-691-6095
Fax Number :
Provider Business Practice Location Address
First Line : 11290 W ALAMEDA AVE STE 160
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-2510
Country : US
Telephone Number : 303-691-6095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2023
Last Update Date : 12/10/2025

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