Individual
MS. WANDA ELAINE KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
COLORADO STATE UNIVERSITY HARTSHORN HEALTH SERVICE, 8031 CAMPUS DELIVERY, FORT COLLINS, CO 80523-0001
(970) 491-7121
(970) 491-0268
Mailing address
2708 HIGH PLAINS CT, FORT COLLINS, CO 80526-6501
(970) 223-6753
(970) 266-1302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63998
CO
363LF0000X
Family Nurse Practitioner
Primary
109125-22
CO
Other
Enumeration date
06/15/2006
Last updated
09/11/2025
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