Individual
MRS. MELINDA L SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8242
(720) 718-0954
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8242
(720) 494-3176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001353
CO
363AS0400X
Surgical Physician Assistant
1353
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73327794
—
CO
Enumeration date
12/05/2005
Last updated
11/21/2024
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