DR. MELANIE FLEUR SANDOVAL NP - NPI 1407492929 - Nurse Practitioner in Pueblo, CO

Q: What is Melanie Sandoval's NPI number?

The NPI number for Melanie Sandoval is 1407492929. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Q: What is Melanie Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Sandoval was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Melanie Fleur Sandoval Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELANIE FLEUR SANDOVAL NP (NPI 1407492929) is an individual nurse practitioner in Pueblo, Colorado, licensed in Colorado (APN.0995300-NP) and active in the NPI registry since November 2019. She maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1407492929

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. MELANIE FLEUR SANDOVALCredential: NP

Location Address1020 LAKEVIEW AVEPueblo, CO 81004-3508

Mailing AddressPo Box 800022Kansas City, MO 64180-0022 · (800) 953-0104 · Fax (303) 765-6670

Phone(719) 557-3660

Fax(719) 557-3690

Sole ProprietorYes

Enumeration DateNovember 19, 2019

Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration

NPPES CertifiedDecember 15, 2021

✔ NPI 1407492929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CO · APN.0995300-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0178632 (CO)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0178632 (CO)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0178632 (CO)

1020 LAKEVIEW AVE, Pueblo, CO 81004

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Secondary Practice Location 1

Location 12212 Red Edge HtsColorado Springs, CO 80921-7227 · Phone (720) 900-6250

Other Identifiers 1

Medicaid9000181288CO

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE GEORGE AZAR M.D.

Internal Medicine (Gastroenterology)