Individual provider · Type 1 NPI
Bonni Leigh Mellenthin
Psychiatric/Mental Health Nurse Practitioner · Colorado Springs, CO
NPI number
1790610467
Active
Practice location
6848 Shimmering Leaf Rd
Colorado Springs, CO 80908-5621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1638224 (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN.1002130-NP (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790610467
Bonni Leigh Mellenthin's National Provider Identifier is 1790610467, issued on Jun 15, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 12, 2026.