Provider Demographics
NPI:1720442700
Name:NELSON, KIRSTEN A (MSN, APRN PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:A
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSN, APRN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 DUBLIN BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1264
Mailing Address - Country:US
Mailing Address - Phone:720-504-7245
Mailing Address - Fax:720-815-0269
Practice Address - Street 1:1870 DUBLIN BLVD STE F
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1264
Practice Address - Country:US
Practice Address - Phone:720-504-7245
Practice Address - Fax:720-815-0269
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0167066163W00000X
COAPN.0996126-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse