Provider Demographics
NPI:1285092486
Name:NEDELE, CARRIE (DVM)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:
Last Name:NEDELE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 ZEREX STREET B105
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:CO
Mailing Address - Zip Code:80442-0014
Mailing Address - Country:US
Mailing Address - Phone:970-363-7271
Mailing Address - Fax:970-363-7263
Practice Address - Street 1:535 ZEREX STREET B105
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:CO
Practice Address - Zip Code:80442-0014
Practice Address - Country:US
Practice Address - Phone:970-363-7271
Practice Address - Fax:970-363-7263
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9933174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian