Individual
ALICIA KIELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, FNP-C, PMHNP-BC
Contact information
Practice address
226 1/2 S UNION AVE UNIT 205, PUEBLO, CO 81003-3557
(719) 246-4925
Mailing address
PO BOX 8191, PUEBLO, CO 81008-8191
(719) 246-4925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0993991
CO
363LF0000X
Family Nurse Practitioner
APN.0993991-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0993991
CO
Other
Enumeration date
07/12/2018
Last updated
02/06/2023
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