Individual
BRAD J FELDAVERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 BANNOCK ST, MAIL CODE 0218, DENVER, CO 80204-4507
(720) 375-0070
Mailing address
777 BANNOCK ST # 80203, DENVER, CO 80204-4507
(720) 375-0070
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5132
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07650523
—
CO
Enumeration date
05/10/2006
Last updated
04/08/2025
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