Healthcare Provider Details

I. General information

NPI: 1922709625
Provider Name (Legal Business Name): ASHLEY PRATTCORDOVA MS, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8132 MT HARVARD RD
LITTLETON CO
80125-9136
US

IV. Provider business mailing address

8132 MT HARVARD RD
LITTLETON CO
80125-9136
US

V. Phone/Fax

Practice location:
  • Phone: 405-306-5566
  • Fax:
Mailing address:
  • Phone: 405-306-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86144018
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: