Healthcare Provider Details

I. General information

NPI: 1649712753
Provider Name (Legal Business Name): MELISSA MAE LUN RAHRIG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA MAE LUN SHIOZAKI

II. Dates (important events)

Enumeration Date: 11/07/2016
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 ORCHARD PKWY
WESTMINSTER CO
80023-9206
US

IV. Provider business mailing address

14300 ORCHARD PKWY
WESTMINSTER CO
80023-9206
US

V. Phone/Fax

Practice location:
  • Phone: 720-627-4840
  • Fax: 720-627-4841
Mailing address:
  • Phone: 720-627-4840
  • Fax: 720-627-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.1000635-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: