Individual
MELISSA CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1311A N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-8556
(970) 564-1134
Mailing address
1311A N MILDRED RD, CORTEZ, CO 81321-2231
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP990210
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7235771
—
CO
Enumeration date
03/06/2007
Last updated
07/26/2023
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