Provider Demographics
NPI:1811135197
Name:SCHLOESSER, KELLY ANNE (WHNP)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANNE
Last Name:SCHLOESSER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:CALHAN
Mailing Address - State:CO
Mailing Address - Zip Code:80808-0275
Mailing Address - Country:US
Mailing Address - Phone:719-347-0100
Mailing Address - Fax:719-347-0851
Practice Address - Street 1:560 CRYSTOLA STREET
Practice Address - Street 2:
Practice Address - City:CALHAN
Practice Address - State:CO
Practice Address - Zip Code:80808
Practice Address - Country:US
Practice Address - Phone:719-347-0100
Practice Address - Fax:719-347-0851
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO5945363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health