Melville, Stacy L

Melville, Stacy L is an individual health care provider with primary practice located at 10107 Ridgegate Pkwy Ste 200 , Lone Tree CO 80124-5641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Melville, Stacy L can be contacted via phone (303) 925-0700.

Contact Information

Primary practice address
10107 Ridgegate Pkwy Ste 200 Lone Tree CO 80124-5641
Phone: (303) 925-0700
Fax: (303) 329-2599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C-APN.0001408-C-NP Colorado

Profile Details

NPI number 1376831180
LBN Legal business name Melville, Stacy L
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated Apr 1st, 2019 - 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 1376831180 NPPES
Texas MEDICAID 283727001

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