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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003212184 | NPPES |
| Texas | MEDICAID | 341829502 | |
| Texas | MEDICAID | 9000145106 | |
| Texas | MEDICAID | 341829501 |
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