| Organization Name: | ROCKY MOUNTAIN PEDIATRIC NUTRITION LLC |
| NPI Number: | 1003114174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHERINE MICHELLE SANTANGELO (PEDIATRIC DIETITIAN) |
| Mailing Address: | 1776 S Jackson St Suite 1007 Denver |
| State: | CO US |
| Postal Code: | 802103801 |
| Phone Number: | 3037042298 |
| Fax Number: | 3037775619 |
| NPI Enumeration Date: | 03/14/2011 |
| NPI Last Update Date: | 03/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |