Provider Demographics
NPI:1942454384
Name:MELENDEZ-CHAVEZ, FRANCISCA (PA)
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:
Last Name:MELENDEZ-CHAVEZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:
Other - Last Name:MELENDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:11083 COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5873
Mailing Address - Country:US
Mailing Address - Phone:303-833-8880
Mailing Address - Fax:720-494-3107
Practice Address - Street 1:11083 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-5873
Practice Address - Country:US
Practice Address - Phone:303-833-8880
Practice Address - Fax:720-494-3107
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO564363AS0400X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical