Individual
MELANIE S HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 BURGESS ST, DELTA, CO 81416-2849
(970) 874-7668
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 399-2611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004634
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54730091
—
CO
Enumeration date
07/03/2013
Last updated
09/27/2024
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