Healthcare Provider Details

I. General information

NPI: 1962289066
Provider Name (Legal Business Name): TUESDAY JOY HOELSCHER MBA, RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TUESDAY JOY BROOKS MBA, RDN, LD

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 HOMESTEAD LN
FLORISSANT CO
80816-8923
US

IV. Provider business mailing address

277 HOMESTEAD LN
FLORISSANT CO
80816-8923
US

V. Phone/Fax

Practice location:
  • Phone: 817-773-8279
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT85064
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: