Healthcare Provider Details

I. General information

NPI: 1265315915
Provider Name (Legal Business Name): ZEINAB KRISTEN CHATILA FDN-P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6293 W JEWELL AVE UNIT 318
LAKEWOOD CO
80232-7123
US

IV. Provider business mailing address

6293 W JEWELL AVE UNIT 318
LAKEWOOD CO
80232-7123
US

V. Phone/Fax

Practice location:
  • Phone: 305-215-6763
  • Fax:
Mailing address:
  • Phone: 305-215-6763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: