Healthcare Provider Details

I. General information

NPI: 1629649587
Provider Name (Legal Business Name): ERIN MARIE CAHOON RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 ROSLYN ST UNIT 250
DENVER CO
80238-2778
US

IV. Provider business mailing address

13286 W CENTER DR
LAKEWOOD CO
80228-2429
US

V. Phone/Fax

Practice location:
  • Phone: 720-553-2750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86030425
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: