Doctor Name: | DR. DIANA PAULINA BROSTOW |
NPI Number: | 1508261538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, MPH, RDN |
License Number: | 86062748 |
Business Practice Address: | 664 S Lincoln St Apt. 202 Denver, CO - 802094075 |
Business Phone Number: | 6122328130 |
Business Fax Number: | |
Mailing Address: | 664 S Lincoln St, Apt. 202 DENVER |
State: | CO |
Postal Code: | 802094075 |
Phone Number: | 6122328130 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2014 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86062748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |