Provider Demographics
NPI:1093111064
Name:POMEGRANATE CONSULTING, LLC
Entity Type:Organization
Organization Name:POMEGRANATE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:YARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:303-830-2665
Mailing Address - Street 1:8189 E 28TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2507
Mailing Address - Country:US
Mailing Address - Phone:303-830-2665
Mailing Address - Fax:
Practice Address - Street 1:8189 E 28TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2507
Practice Address - Country:US
Practice Address - Phone:303-830-2665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain