Nervepro

Organization Active NPI Electroneurodiagnostic Specialist/Technologist · Granby, CO

NPI 1780174169 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1780174169
Entity type
Organization (NPI type 2)
Primary specialty
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Legal business name
NERVEPRO
Practice address
79 County Road 4103
Granby, CO 80446
Phone
(610) 788-2277
NPI assigned
May 11, 2018
Organization subpart
No

Authorized official

Name
Melissa Hanley
Title
Agent
Phone
(610) 788-2277

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist
Group: 193400000X SINGLE SPECIALTY GROUP
246ZE0600X Yes

Addresses

Primary practice location

79 County Road 4103
Granby, CO 80446

Mailing address

PO Box 150295
Lakewood, CO 80215-0295

Other providers in Granby, CO

All providers in Granby, CO · Electroneurodiagnostic Specialist/Technologist in Colorado

Sources for this page

Verify at the official NPI Registry.