Elise Fultonberg in Superior - Dietitian, Registered
Elise Fultonberg - NPI 1124285457
Elise Fultonberg is a Dietitian, Registered in Superior, Colorado. Elise Fultonberg practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Elise Fultonberg is 1124285457. The last update date is 2008-05-22.
Elise Fultonberg's current location address is 1009 Monarch Way, Superior, Colorado. You can contact this provider via phone number 3039567013. The mailing address for Elise Fultonberg is 1009 Monarch Way, Superior, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elise Fultonberg |
|---|---|
| Address | 1009 Monarch Way, Superior, Colorado |
| Phone Number | 3039567013 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1124285457 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 1009 Monarch Way |
|---|---|
| City | Superior |
| State | Colorado (CO) |
| Post Code | 800278183 |
| Phone Number | 3039567013 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 706836 |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identifier code issued to Elise Fultonberg by the Centers for Medicare & Medicaid Services?
The Elise Fultonberg has been assigned the NPI (National Provider Identifier) 1124285457 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Elise Fultonberg's physical address?
The Elise Fultonberg is physically located at 1009 Monarch Way, in the city of Superior, CO, with the postal code 800278183.
What is Elise Fultonberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elise Fultonberg is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124285457 to Elise Fultonberg?
The Centers for Medicare & Medicaid Services assigned the 1124285457 to Elise Fultonberg on 2008-05-22.
As of what date were the details pertaining to Elise Fultonberg last refreshed?
The information related to the Elise Fultonberg, including its address, specialty, and other relevant details, was last updated on 2008-05-22.
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