MEDICARE: MY MENOPAUSE CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1144112137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY MENOPAUSE CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 122
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80402-0122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5536 ROGERS CT
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80403-1278
Country	:	US
Telephone Number	:	303-588-2190
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA PFAHL
Credential	:	NP
Telephone Number	:	303-588-2190

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	07/16/2025

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