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Individual

MS. MELISSA WHERLEY TIMOTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1360 S POTOMAC ST, AURORA, CO 80012-4505
(303) 337-5575
Mailing address
9123 E NASSAU AVE, DENVER, CO 80237-1918
(720) 985-8949

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1598
CO
363AM0700X
Medical Physician Assistant
PA000062
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027088
KAISER COMMERCIAL NUMBER
CO
05
40724336
CO
Enumeration date
05/17/2006
Last updated
01/01/2024
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