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Individual

MRS. MELISSA JEAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
101 ERIE PKWY STE 101, ERIE, CO 80516-4071
(303) 415-5810
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-4770
(303) 415-4769

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0199501
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0992182-NP
CO

Other

Enumeration date
07/20/2012
Last updated
07/05/2022
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