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Individual

MRS. DIXIE ANN MELTON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
115 CEDAR STREET, IGNACIO, CO 81137-0707
(907) 563-9388
(970) 563-9398
Mailing address
PO BOX 612, IGNACIO, CO 81137-0612
(970) 563-4250

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70939
CO
363LF0000X
Family Nurse Practitioner
R41976
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60309067
CO
Enumeration date
11/30/2005
Last updated
07/08/2007
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