Doctor Name: | REANNA MOORE |
NPI Number: | 1922476456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN |
License Number: | 86006872 |
Business Practice Address: | 501 Airport Road Grand River Health Rifle, CO - 81650 |
Business Phone Number: | 9706256201 |
Business Fax Number: | |
Mailing Address: | 818 Sycamore St, FORT COLLINS |
State: | CO |
Postal Code: | 805211907 |
Phone Number: | 9044773409 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2015 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86006872 |
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 |