NPI 1013075423 · live from the CMS NPI Registry
Melanie Anicee Anderson, PA-C
Physician Assistant, Medical in Thornton, CO. National Provider Identifier 1013075423, active.
NPI record
| NPI | 1013075423 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 3655 E 104th Ave, Thornton, CO 80233 |
| Practice phone | 303-254-8500 |
| Enumerated | December 5, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 1227 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.