# BONNI LEIGH MELLENTHIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790610467
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1638224 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN.1002130-NP | CO | Yes |

## Other

- **Enumeration date:** 06/15/2026
- **Last updated:** 07/12/2026