Individual
MELISSA R VANSICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9695 S YOSEMITE ST STE 285, LONE TREE, CO 80124-2890
(303) 649-3115
(303) 649-3116
Mailing address
9695 S YOSEMITE ST STE 285, LONE TREE, CO 80124-2890
(303) 649-3115
(303) 649-3116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0003286
CO
363AM0700X
Medical Physician Assistant
001724
IA
363AM0700X
Medical Physician Assistant
PA.0003286
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001724
LICENSE
IA
Enumeration date
10/06/2006
Last updated
04/06/2018
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