Healthcare Provider Details

I. General information

NPI: 1164335030
Provider Name (Legal Business Name): DANIEL MOREIRA SALVEGO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2928 W 10TH ST
GREELEY CO
80634-5426
US

IV. Provider business mailing address

155 CHERRY AVE
EATON CO
80615-3641
US

V. Phone/Fax

Practice location:
  • Phone: 970-584-2100
  • Fax:
Mailing address:
  • Phone: 970-484-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002400-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: