MEDICARE: MELISSA MENDEN PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RXN.0110052-NP	CO
2	163W00000X	Registered Nurse	RN.1670349	CO

General Provider Information

NPI Number	:	1437880739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MENDEN PMHNP-BC

Provider Business Mailing Address
First Line	:	3095 WILSON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4945
Country	:	US
Telephone Number	:	303-803-5726
Fax Number	:	303-484-7339

Provider Business Practice Location Address
First Line	:	3095 WILSON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4945
Country	:	US
Telephone Number	:	303-803-5726
Fax Number	:	303-484-7339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2022
Last Update Date	:	03/11/2026

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