Nederveld, Andrea

Nederveld, Andrea is an individual health care provider with primary practice located at 2333 North 6Th Street , Grand Junction CO 81501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Nederveld, Andrea can be contacted via phone (970) 255-1782.

Contact Information

Primary practice address
2333 North 6Th Street Grand Junction CO 81501
Phone: (970) 255-1782
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43536 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43536 Colorado

Profile Details

NPI number 1740267855
LBN Legal business name Nederveld, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Nov 23rd, 2007 - about 17 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 1740267855 NPPES
Colorado MEDICAID 72172541

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