Kennell, Mariah Sage

Kennell, Mariah Sage is an individual health care provider with primary practice located at 2930 11Th Ave , Evans CO 80620-1011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kennell, Mariah Sage can be contacted via phone (970) 353-9403.

Contact Information

Primary practice address
2930 11Th Ave Evans CO 80620-1011
Phone: (970) 353-9403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F06262053 Colorado
Nursing Service Providers / Registered Nurse 163W00000X RN.1674236 Colorado

Profile Details

NPI number 1649005661
LBN Legal business name Kennell, Mariah Sage
Credentials DNP-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2024
Last updated Jul 11th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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