Brad J Feldaverd CRNA

NPI 1093764490 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1093764490
Gender Male
Enumeration Date 05/10/2006
Last Updated 08/18/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
777 BANNOCK ST
MAIL CODE 0218
DENVER CO, 80204-4507, US
Phone (720) 375-0070
Fax
Business Location
2340 HOLLY ST
DENVER CO, 80207-3226, US
Phone (720) 375-0070
Fax
Toxanomy
Taxonomy Code 367500000X
License State Colorado
License Number 5132
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According to our database, Brad J Feldaverd CRNA NPI is 1093764490, taxonomy code is 367500000X and license number is 5132, license state is located at Colorado. Brad J Feldaverd CRNA physically located at 777 Bannock St, Denver CO, 80204-4507. NPI Number Brad J Feldaverd CRNA has the Individual type.

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1093764490 NPI number is provided on an as is basis without warranty of any kind. 1093764490 is maintained by the National Plan & Provider Enumeration System. The contents of Brad J Feldaverd CRNA are for informational purposes only.