Organization
NERVEPRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HANLEY (AGENT)
(610) 788-2277
Entity
Organization
Contact information
Practice address
79 COUNTY ROAD 4103, GRANBY, CO 80446
(610) 788-2277
Mailing address
PO BOX 150295, LAKEWOOD, CO 80215-0295
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
06/16/2018
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