Provider Demographics
NPI:1679137830
Name:NASH, KELSI ELISE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KELSI
Middle Name:ELISE
Last Name:NASH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8813 W STAR AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-7124
Mailing Address - Country:US
Mailing Address - Phone:970-812-7910
Mailing Address - Fax:
Practice Address - Street 1:7761 SHAFFER PKWY STE 225
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3729
Practice Address - Country:US
Practice Address - Phone:303-862-1504
Practice Address - Fax:303-933-9431
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994626-NP207Q00000X
COAPN0994626-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner