Doctor Name: | MS. MARY LOUISE PEET |
NPI Number: | 1689799611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 462779 |
Business Practice Address: | Memorial Health System 1400 East Boulder St Colorado Springs, CO - 80909 |
Business Phone Number: | 7193651832 |
Business Fax Number: | 7193656727 |
Mailing Address: | 1365 Deby Pl, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809212282 |
Phone Number: | 7194813749 |
Fax Number: | 7193656727 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 462779 |
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 |