Individual
SAM ANTHONY MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
501 THORNTON PKWY, THORNTON, CO 80229-2101
(303) 452-6101
Mailing address
1727 S GILPIN ST, DENVER, CO 80210-3343
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0995615-NP
CO
Other
Enumeration date
05/19/2010
Last updated
11/27/2023
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