Individual
KELLI SUSANN DEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6455 YOSEMITE ST, 6TH FLOOR, GREENWOOD VILLAGE, CO 80111
(303) 692-1211
(844) 434-0379
Mailing address
295 MARTIN DR, BOULDER, CO 80305-3442
(970) 389-5537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013103096
CO
Other
Enumeration date
11/15/2013
Last updated
02/25/2016
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