Healthcare Provider Details

I. General information

NPI: 1891244109
Provider Name (Legal Business Name): ANDREA VOLIN R.N., M.N.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 09/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8561 E IOWA PL
DENVER CO
80231-2741
US

IV. Provider business mailing address

8561 E IOWA PL
DENVER CO
80231-2741
US

V. Phone/Fax

Practice location:
  • Phone: 720-938-0127
  • Fax:
Mailing address:
  • Phone: 720-938-0127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0090347
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: