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NPI 1720562408

NPI 1720562408 : MELISSA PFAHL MSN, FNP-C : GOLDEN, CO

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General NPI Number Information
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    NPI Number           |    1720562408
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA PFAHL MSN, FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/19/2018
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    5536 ROGERS CT 
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    City                 |    GOLDEN
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    State                |    CO
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    Zip                  |    80403-1278
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    Country              |    US
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    Telephone            |    720-324-7039
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    Fax                  |    888-324-7039
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Provider Business Mailing Address
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    Address Line         |    601 16TH ST STE C-170 
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    City                 |    GOLDEN
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    State                |    CO
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    Zip                  |    80401-1978
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    Country              |    US
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    Telephone            |    720-324-7039
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    Fax                  |    888-704-6832
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    APN.0994049-NP
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APN.0994049-NP
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    APN.0994049-NP
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    License Number State |    CO
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