Amber Melville
Individual provider Active NPI Specialist · Sedalia, CO
NPI 1649625583 · NPPES record last updated Apr 28, 2016
Key facts
- NPI
- 1649625583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 2525 Big Bear Dr
Sedalia, CO 80135-4412 - Phone
- (720) 724-4166
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
2525 Big Bear Dr
Sedalia, CO 80135-4412
Mailing address
2525 Big Bear Dr
Sedalia, CO 80135-4412
Phone (720) 724-4166
Other providers in Sedalia, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.