Individual
MELISSA ALICE MANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 344-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0997690-NP
CO
363LF0000X
Family Nurse Practitioner
95011929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95011929
FAMILY NURSE PRACTITIONER
CA
Enumeration date
11/09/2019
Last updated
05/14/2025
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