Organization Name: | ADVANCED NUTRITION CONCEPTS |
NPI Number: | 1083060305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN K DRAKE (REGISTERED DIETITIAN) |
Mailing Address: | 8257 S Summit Dr Morrison |
State: | CO US |
Postal Code: | 804652431 |
Phone Number: | 7204909649 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2016 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00803604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |