Doctor Name: | CAROLYN CARDONA |
NPI Number: | 1114308350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | 1019829 |
Business Practice Address: | 3117 E Spaulding Ave Unit 105 Pueblo, CO - 810085200 |
Business Phone Number: | 7195923400 |
Business Fax Number: | |
Mailing Address: | 3117 E Spaulding Ave, Unit 105 PUEBLO |
State: | CO |
Postal Code: | 810085200 |
Phone Number: | 7195823400 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2015 |
NPI Last Update Date: | 06/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1019829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |