Individual
MELISSA K MCELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(000) 000-0000
Mailing address
316 COAL RIDGE DR, FREDERICK, CO 80530-6013
(303) 833-2615
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014006
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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