Healthcare Provider Details

I. General information

NPI: 1992048409
Provider Name (Legal Business Name): MELISSA ANNE BYRNE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 E LOWRY BLVD STE 120
DENVER CO
80230-7195
US

IV. Provider business mailing address

2945 S ELATI ST
ENGLEWOOD CO
80110-1440
US

V. Phone/Fax

Practice location:
  • Phone: 303-909-4157
  • Fax:
Mailing address:
  • Phone: 312-888-5790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR199524
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024171249
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.0993800
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: