Provider Demographics
NPI:1154663714
Name:XAVIER, MELINDA MAE
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:MAE
Last Name:XAVIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6740 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3016
Mailing Address - Country:US
Mailing Address - Phone:303-782-4858
Mailing Address - Fax:303-782-4877
Practice Address - Street 1:6740 E HAMPDEN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3016
Practice Address - Country:US
Practice Address - Phone:303-782-4858
Practice Address - Fax:303-782-4877
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO50371247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other