NPI 1629165469

Eva a Berardelli, MD

Practitioner Rehabilitation Practitioner Longmont, CO

Practice location

Address: 2030 Mountain View Ave, Longmont, CO 80501-3178
Phone: (303) 709-9772
Fax: (303) 652-0468
Mailing address: PO Box 614, Niwot, CO 80544-0614

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 25586 (CO)

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Registry record

NPI: 1629165469
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2006
Record last updated: 23 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.