Individual
KALEY BISHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN
Contact information
Practice address
700 CENTRE AVE, FORT COLLINS, CO 80526-1842
(970) 494-4200
(970) 399-8037
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
(970) 613-4475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28186184A
IN
163W00000X
Registered Nurse
C-RXN.0001087-C-NP
CO
163W00000X
Registered Nurse
RN-204924
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0990416
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0002416-C-NP
CO
Other
Enumeration date
05/21/2012
Last updated
10/12/2022
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