MEDICARE: AUTHUMN NICHOLE SANTELLANA DNP, FNP-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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0995021-NP	CO
2	363LF0000X	Family Nurse Practitioner	APN-0995021-NP	CO
3	363LF0000X	Family Nurse Practitioner	099521	CO

General Provider Information

NPI Number	:	1700316148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUTHUMN NICHOLE SANTELLANA DNP, FNP-BC

Provider Business Mailing Address
First Line	:	407 S 7TH ST
Second Line	:
City	:	LAMAR
State	:	CO
Zip	:	81052-2729
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2472 PATTERSON RD UNIT 5
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1100
Country	:	US
Telephone Number	:	970-773-1602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	01/19/2026

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