Individual
MICHELLE KERANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 HUGHES WAY, FORT COLLINS, CO 80523-0001
(970) 491-7121
Mailing address
403 LUCCA DR, EVANS, CO 80620-8955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0205151
CO
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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