Provider Demographics
NPI:1811278450
Name:REDFIELD, MELANIE KATHERINE (NP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:KATHERINE
Last Name:REDFIELD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 SOUTH BROADWAY
Mailing Address - Street 2:SUITE G20
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122
Mailing Address - Country:US
Mailing Address - Phone:303-347-2500
Mailing Address - Fax:303-347-2609
Practice Address - Street 1:7750 S BROADWAY STE G20
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2637
Practice Address - Country:US
Practice Address - Phone:303-347-2500
Practice Address - Fax:303-347-2609
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10345363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily