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Melissa Marie Fountain, PA-C
Medical Physician Assistant in Lafayette, Colorado
NPI 1609327493

Melissa Marie Fountain is a Medical Physician Assistant based in Lafayette, CO and is specialized in Medical. Melissa Marie Fountain practices in Lafayette, CO and has the professional credentials of PA-C. The NPI Number for Melissa Marie Fountain is 1609327493 and holds a License No. PA0004816 (Colorado).

The current practice location address for Melissa Marie Fountain is 1000 W South Boulder Rd Ste 110, Lafayette, CO and can be reached out via phone at 303-415-4355.

Location: 1000 W South Boulder Rd Ste 110, Lafayette, CO, 80026-2753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609327493
Provider Name
Melissa Marie Fountain
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1000 W South Boulder Rd Ste 110, Lafayette, CO, 80026-2753
Phone Number
303-415-4355
Fax Number
Provider Enumeration Date
10/17/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1000 W South Boulder Rd Ste 110
City
Lafayette
State
Colorado
Zip
80026-2753
Phone Number
303-415-4355
Fax Number
person
Provider Business Mailing Address Details
Address
1000 W South Boulder Rd Ste 110
City
Lafayette
State
Colorado
Zip
80026-2753
Phone Number
303-415-4355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA0004816 (Colorado)
Definition
Definition to come...
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