MEDICARE: ANN DIKER RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1336833755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN DIKER RDN

Provider Business Mailing Address
First Line	:	9074 EDGEWOOD ST
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130-5132
Country	:	US
Telephone Number	:	970-412-8198
Fax Number	:

Provider Business Practice Location Address
First Line	:	9074 EDGEWOOD ST
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130-5132
Country	:	US
Telephone Number	:	970-412-8198
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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Directions to “ ANN DIKER RDN” Practice Location

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