Mcclendon, Melinda

Mcclendon, Melinda is an individual health care provider with primary practice located at 4110 Briargate Pkwy Ste 405 , Colorado Springs CO 80920-7838. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Mcclendon, Melinda can be contacted via phone (719) 365-7300.

Contact Information

Primary practice address
4110 Briargate Pkwy Ste 405 Colorado Springs CO 80920-7838
Phone: (719) 365-7300
Fax: (512) 275-2833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP126900 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP126900 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP126900 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X C-APN.0000696-C-NP Colorado

Profile Details

NPI number 1003212184
LBN Legal business name Mcclendon, Melinda
Credentials RN, AGNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2014
Last updated Feb 3rd, 2021 - about 3 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 1003212184 NPPES
Texas MEDICAID 341829502
Texas MEDICAID 9000145106
Texas MEDICAID 341829501

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