Individual
MRS. KELLY RIELY VISCONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7720 S BROADWAY STE 310, LITTLETON, CO 80122-2624
(303) 584-5844
Mailing address
7720 S BROADWAY STE 310, LITTLETON, CO 80122-2624
(303) 584-5844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN1061175
DC
363LF0000X
Family Nurse Practitioner
0024175328
VA
363LF0000X
Family Nurse Practitioner
Primary
1699032
CO
Other
Enumeration date
08/02/2017
Last updated
10/24/2024
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