Individual
KELLY DEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(979) 943-1586
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN.0997877-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0997877-NP
CO
Other
Enumeration date
03/12/2020
Last updated
09/25/2024
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