Healthcare Provider Details

I. General information

NPI: 1609264381
Provider Name (Legal Business Name): ANN L FEELY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2015
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9209 WELBY CIR
THORNTON CO
80229-4283
US

IV. Provider business mailing address

9209 WELBY CIR
THORNTON CO
80229-4283
US

V. Phone/Fax

Practice location:
  • Phone: 505-362-4952
  • Fax:
Mailing address:
  • Phone: 505-362-4952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: