Provider Demographics
NPI:1427520469
Name:MANN, CLAIRE MELISSA (APN)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MELISSA
Last Name:MANN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W LIONSHEAD CIR UNIT 211
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-5231
Mailing Address - Country:US
Mailing Address - Phone:440-476-8222
Mailing Address - Fax:
Practice Address - Street 1:984 TEN MILE DR.
Practice Address - Street 2:SUITE 3
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-926-9226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994379363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health