Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah Sage Kennell, DNP-FNP

Individual provider Family Nurse Practitioner · NPI 1649005661

Mariah Sage Kennell, DNP-FNP is a Family Nurse Practitioner in Evans, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2930 11th Ave
Evans, CO 80620-1011
Phone: (970) 353-9403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F06262053 (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN.1674236 (CO)

Record details

NPI number1649005661
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-FNP
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESJuly 11, 2026
Certification dateJuly 11, 2026

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