Provider Demographics
NPI:1558786293
Name:ELLERS, MELANIE C (CRNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:C
Last Name:ELLERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9351 GRANT ST STE 490
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4365
Mailing Address - Country:US
Mailing Address - Phone:303-844-5000
Mailing Address - Fax:303-529-5015
Practice Address - Street 1:9351 GRANT ST STE 490
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4365
Practice Address - Country:US
Practice Address - Phone:303-844-5000
Practice Address - Fax:844-829-5015
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0998252-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner