Individual
MRS. MELANIE IRENE PISTENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8242
(720) 718-0950
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8242
(720) 718-0950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008910
CO
363AM0700X
Medical Physician Assistant
MA055658
PA
Other
Enumeration date
07/26/2011
Last updated
01/12/2026
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