Johnson, Melissa D.

Johnson, Melissa D. is an sole proprietor health care provider with primary practice located at 1606 Prairie Center Pkwy Ste 300 , Brighton CO 80601-4004. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Johnson, Melissa D. can be contacted via phone (303) 655-1685.

Contact Information

Primary practice address
1606 Prairie Center Pkwy Ste 300 Brighton CO 80601-4004
Phone: (303) 655-1685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 187164 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0994145 Colorado

Profile Details

NPI number 1821247008
LBN Legal business name Johnson, Melissa D.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2008
Last updated Mar 3rd, 2020 - about 5 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 1821247008 NPPES
Colorado MEDICAID 60689871

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