Doctor Name: | ALISON ELAINE ANTON |
NPI Number: | 1013212174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNE |
License Number: | 15-63377-0000 |
Business Practice Address: | 184 5th Avenue Niwot, CO - 80504 |
Business Phone Number: | 3036520930 |
Business Fax Number: | |
Mailing Address: | Po Box 84, NIWOT |
State: | CO |
Postal Code: | 805440084 |
Phone Number: | 3036520930 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2011 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 15-63377-0000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |