Organization
NOVAMENTIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE FLEUR SANDOVAL PHD, AGACNP-BC (CLINICAL PROVIDER)
(720) 900-6250
Entity
Organization
Contact information
Practice address
2212 RED EDGE HTS, COLORADO SPRINGS, CO 80921-7227
(719) 663-7330
Mailing address
2212 RED EDGE HTS, COLORADO SPRINGS, CO 80921-7227
(720) 900-6250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
251J00000X
Nursing Care Agency
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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