Individual
MS. MELANIE RUTH SIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., CPNP
Contact information
Practice address
9544 NEWPORT PLUM CT, COLORADO SPRINGS, CO 80920-2806
(720) 450-6021
Mailing address
9544 NEWPORT PLUM CT, COLORADO SPRINGS, CO 80920-2806
(720) 450-6021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0003861-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111251
COLORADO NURSING LICENSE
CO
Enumeration date
02/11/2010
Last updated
02/16/2024
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