Individual
MELISSA MAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
929 SW MULVANE ST, TOPEKA, KS 66606-1677
(785) 270-8625
(785) 270-8624
Mailing address
15551 W 64TH PL UNIT C, ARVADA, CO 80007-6434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1619994
CO
363L00000X
Nurse Practitioner
Primary
53-85139
KS
363LA2100X
Acute Care Nurse Practitioner
0998873
CO
363LA2100X
Acute Care Nurse Practitioner
13896857-4405
UT
Other
Enumeration date
04/19/2023
Last updated
01/08/2026
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