Melinda Mcclendon
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
4110 Briargate Pkwy Ste 405
Colorado Springs
, Colorado 80920-7838
Melinda Mcclendon
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
4110 Briargate Pkwy Ste 405
Colorado Springs
, Colorado 80920-7838
(512) 275-2833
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Melinda Mcclendon
- 2501 W William Cannon Dr Suite 401
- Austin, TX
- Zip : 78745-5281
- Fax : (512) 275-2833
- Phone : (512) 416-7246
Second Address
- Melinda Mcclendon
- 4110 Briargate Pkwy Ste 405
- Colorado Springs, CO
- Zip : 80920-7838
- Fax : (512) 275-2833
- Phone : (719) 365-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP126900 | TX |
| N | 363LA2200X | Nurse Practitioner - Adult Health | AP126900 | TX |
| N | 363LG0600X | Nurse Practitioner - Gerontology | AP126900 | TX |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | C-APN.0000696-C-NP | CO |
National Provider Identifier
| NPI | 1003212184 |
|---|---|
| Provider Name | Melinda Mcclendon |
| First Address | Austin, TX 78745-5281 |
| Second Address | Colorado Springs, CO 80920-7838 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2014 |
| Last Update Date | 03/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 341829501 | (05) | TX |
| 341829502 | (05) | TX |
| 9000145106 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.