Individual
ANDREA NEDERVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2333 NORTH 6TH STREET, GRAND JUNCTION, CO 81501
(970) 255-1782
Mailing address
PO BOX 62, GRAND JUNCTION, CO 81502-0062
(970) 244-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43536
CO
208000000X
Pediatrics Physician
Primary
43536
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72172541
—
CO
Enumeration date
12/29/2005
Last updated
11/23/2007
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