Healthcare Provider Details

I. General information

NPI: 1174443527
Provider Name (Legal Business Name): MELIA CELLA O'MALLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELIA TOME CELLA RN

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2972 S ONEIDA ST
DENVER CO
80224-2707
US

IV. Provider business mailing address

2972 S ONEIDA ST
DENVER CO
80224-2707
US

V. Phone/Fax

Practice location:
  • Phone: 720-217-3810
  • Fax:
Mailing address:
  • Phone: 720-217-3810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.0190282
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: