Individual
MELISSA M RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4125 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7804
(719) 305-9045
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C-APN.0000119-C-NP
CO
Other
Enumeration date
11/02/2010
Last updated
12/02/2015
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