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NPI Code Detail

MEDICARE: EMILY PIERSON MNT

MEDICARE:   EMILY  PIERSON  MNT
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
1133N00000XNutritionist

General Provider Information

NPI Number : 1558968073
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY PIERSON MNT
Provider Business Mailing Address
First Line : 5836 SIMMS ST
Second Line :
City : ARVADA
State : CO
Zip : 80004-4225
Country : US
Telephone Number : 812-361-3510
Fax Number :
Provider Business Practice Location Address
First Line : 5836 SIMMS ST
Second Line :
City : ARVADA
State : CO
Zip : 80004-4225
Country : US
Telephone Number : 812-361-3510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2020
Last Update Date : 10/07/2020

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Directions to “ EMILY PIERSON MNT” Practice Location

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