Healthcare Provider Details

I. General information

NPI: 1235550237
Provider Name (Legal Business Name): CATHERINE ANNE LAYDEN CNT, MNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 3RD AVE #1001
DENVER CO
80203
US

IV. Provider business mailing address

400 E 3RD AVE #1001
DENVER CO
80203
US

V. Phone/Fax

Practice location:
  • Phone: 303-722-7698
  • Fax:
Mailing address:
  • Phone: 303-722-7698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: