Feldaverd, Brad J

Feldaverd, Brad J is an individual health care provider with primary practice located at 777 Bannock St Mail Code 0218, Denver CO 80204-4507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Feldaverd, Brad J can be contacted via phone (720) 375-0070.

Contact Information

Primary practice address
777 Bannock St Mail Code 0218 Denver CO 80204-4507
Phone: (720) 375-0070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 5132 Colorado

Profile Details

NPI number 1093764490
LBN Legal business name Feldaverd, Brad J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Apr 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093764490 NPPES
Colorado MEDICAID 07650523

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