Individual
MS. CAROLYN ALICE MELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
9218 KIMMER DR STE 207, LONE TREE, CO 80124-6733
(720) 493-9006
(720) 242-7520
Mailing address
9777 S YOSEMITE ST STE 220, LONE TREE, CO 80124-3115
(303) 955-8930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0004396-NP
CA
363L00000X
Nurse Practitioner
0004396-NP
CO
363L00000X
Nurse Practitioner
Primary
140631
CO
Other
Enumeration date
07/18/2006
Last updated
06/03/2026
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