Individual
MELANIE DESLOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN.0997114-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000208407
—
CO
Enumeration date
08/18/2022
Last updated
03/31/2025
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