Sandoval, Melanie Fleur
Sandoval, Melanie Fleur is an sole proprietor health care provider with primary practice located at 1020 Lakeview Ave , Pueblo CO 81004-3508. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sandoval, Melanie Fleur can be contacted via phone (719) 557-3660.Contact Information
Primary practice address
1020 Lakeview Ave
Pueblo CO 81004-3508
Phone: (719) 557-3660
Fax: (719) 557-3690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 0178632 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0178632 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 0178632 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN.0995300-NP | Colorado |
Profile Details
| NPI number | 1407492929 |
|---|---|
| LBN Legal business name | Sandoval, Melanie Fleur |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2019 |
| Last updated | Dec 15th, 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 | 1407492929 | NPPES |
| Colorado | MEDICAID | 9000181288 |
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