Provider Demographics
NPI:1225433915
Name:KRAMER, MELANIE E (MS)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:E
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 S LOOMIS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-2541
Mailing Address - Country:US
Mailing Address - Phone:860-906-6244
Mailing Address - Fax:
Practice Address - Street 1:CSU HEALTH NETWORK
Practice Address - Street 2:123 AYLESWORTH HALL NW
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-0001
Practice Address - Country:US
Practice Address - Phone:970-491-6053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program