Organization
MARY NEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NEL (OWNER)
(970) 412-6394
Entity
Organization
Contact information
Practice address
1113 CLEVELAND AVE, LOVELAND, CO 80537-4722
(970) 499-8407
(970) 667-8383
Mailing address
2505 W PLUM ST, FT COLLINS, CO 80521-3144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53539745
—
CO
Enumeration date
01/18/2006
Last updated
08/22/2020
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