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NPI Code Detail

MEDICARE: MELISSA EBNER MACKINNON DNP, FNP-BC

MEDICARE: MELISSA EBNER MACKINNON DNP, FNP-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
1363LF0000XFamily Nurse PractitionerNP10132CO
2363LF0000XFamily Nurse Practitioner10132CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891023131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA EBNER MACKINNON DNP, FNP-BC
Provider Business Mailing Address
First Line : 7535 E HAMPDEN AVE STE 400
Second Line :
City : DENVER
State : CO
Zip : 80231-4844
Country : US
Telephone Number : 303-807-8192
Fax Number :
Provider Business Practice Location Address
First Line : 7535 E HAMPDEN AVE STE 400
Second Line :
City : DENVER
State : CO
Zip : 80231-4844
Country : US
Telephone Number : 303-807-8192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2009
Last Update Date : 08/27/2021

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Directions to “ MELISSA EBNER MACKINNON DNP, FNP-BC” Practice Location

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