Healthcare Provider Details

I. General information

NPI: 1578376539
Provider Name (Legal Business Name): NERVE AND JOINT INSTITUTE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3553 CLYDESDALE PKWY
LOVELAND CO
80538-8959
US

IV. Provider business mailing address

3553 CLYDESDALE PKWY
LOVELAND CO
80538-8959
US

V. Phone/Fax

Practice location:
  • Phone: 720-726-4523
  • Fax:
Mailing address:
  • Phone: 720-726-4523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCA RAYOS
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-741-0990