Nervepro

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

NERVEPRO

Practice address

79 County Road 4103
Granby, CO 80446

Phone

(610) 788-2277

NPI assigned

May 11, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Hanley

Title

Agent

Phone

(610) 788-2277

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1780174169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150295",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802150295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 COUNTY ROAD 4103",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "80446",
            "telephone_number": "610-788-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVEPRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "610-788-2277"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Granby, CO
• Providers in Granby, CO by specialty
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.