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General NPI Number Information
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NPI Number | 1689453714
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Entity Type | Individual
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Provider Name | MELISSA ANNE DECELLES DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1800 N WILLIAMS ST STE 200
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City | DENVER
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State | CO
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Zip | 80218-1237
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Country | US
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Telephone | 303-388-4876
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Fax | 303-285-5097
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Provider Business Mailing Address
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Address Line | 7951 E MAPLEWOOD AVE STE 350
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4758
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Country | US
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Telephone | 303-930-7895
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Fax | 832-601-6018
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1654419
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RXN.0108207-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0999148-NP
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License Number State | CO
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