Provider Demographics
NPI:1023592482
Name:VELTRI, MICHELLE JANINE
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:JANINE
Last Name:VELTRI
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 1:11700 WEST 2ND PLACE
Mailing Address - Street 2:SUITE 210, MEDICAL PLAZA 2
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228
Mailing Address - Country:US
Mailing Address - Phone:303-909-6977
Mailing Address - Fax:720-279-0198
Practice Address - Street 1:11700 WEST 2ND PLACE
Practice Address - Street 2:SUITE 210, MEDICAL PLAZA 2
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228
Practice Address - Country:US
Practice Address - Phone:303-909-6977
Practice Address - Fax:720-279-0198
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993855-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner