Gillispie, Melissa De Ann

Gillispie, Melissa De Ann is an individual health care provider with primary practice located at 512 S Prairie Ave , Pueblo CO 81005-1724. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gillispie, Melissa De Ann can be contacted via phone (719) 542-3218.

Contact Information

Primary practice address
512 S Prairie Ave Pueblo CO 81005-1724
Phone: (719) 542-3218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 109079 Colorado

Profile Details

NPI number 1538214267
LBN Legal business name Gillispie, Melissa De Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 14th, 2007 - about 17 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 1538214267 NPPES
Colorado MEDICAID 07090798

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