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

Individual provider Family Nurse Practitioner · NPI 1518488634

Samantha Kelly, FNP-C is a Family Nurse Practitioner in Pueblo, Colorado. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona, California and Colorado.

Licensed in
AZ, CA, CO
In the registry since
2017
Specialties on file
4
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4036 Ridge Dr
Pueblo, CO 81008-1720
Phone: (719) 251-1594
Fax: (514) 236-8737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6960 W Peoria Ave Lot 5, Peoria, AZ 85345-6025 — (719) 415-0297

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0995461-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 337690 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95006818 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95034970 (CA)

Record details

NPI number1518488634
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 28, 2017
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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