Provider Demographics
NPI:1609280882
Name:ALLEN, MELINDA BETH (DNP)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:BETH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 24 1/2 RD STE F
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1277
Mailing Address - Country:US
Mailing Address - Phone:970-644-5013
Mailing Address - Fax:970-683-1138
Practice Address - Street 1:627 24 1/2 RD STE F
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1277
Practice Address - Country:US
Practice Address - Phone:970-644-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0001289-C-NP363LF0000X, 363LP0808X
UT5350404-8900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily