Churchill, Melissa

Churchill, Melissa is an individual health care provider with primary practice located at 1311A N Mildred Rd , Cortez CO 81321-2231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Churchill, Melissa can be contacted via phone (970) 565-8556.

Contact Information

Primary practice address
1311A N Mildred Rd Cortez CO 81321-2231
Phone: (970) 565-8556
Fax: (970) 564-1134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP990210 Colorado

Profile Details

NPI number 1396875704
LBN Legal business name Churchill, Melissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 26th, 2023 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396875704 NPPES
Colorado MEDICAID 7235771

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