Provider Demographics
NPI:1174620199
Name:MCNEES, NANETTE GAYE (R PH)
Entity type:Individual
Prefix:MS
First Name:NANETTE
Middle Name:GAYE
Last Name:MCNEES
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:MS
Other - First Name:NANETTE
Other - Middle Name:GAYE
Other - Last Name:HUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2121 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501
Mailing Address - Country:US
Mailing Address - Phone:970-248-5586
Mailing Address - Fax:970-256-8900
Practice Address - Street 1:2121 NORTH AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501
Practice Address - Country:US
Practice Address - Phone:970-248-5586
Practice Address - Fax:970-256-8900
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10877183500000X
ND3562183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist