Provider Demographics
NPI:1780858407
Name:FELLE, MAEVE WALTON (MD)
Entity Type:Individual
Prefix:
First Name:MAEVE
Middle Name:WALTON
Last Name:FELLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 E 9TH AVENUE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3926
Mailing Address - Country:US
Mailing Address - Phone:303-399-3315
Mailing Address - Fax:303-355-7088
Practice Address - Street 1:4500 E 9TH AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3926
Practice Address - Country:US
Practice Address - Phone:303-399-3315
Practice Address - Fax:303-355-7088
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0051280207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology