Provider Demographics
NPI:1093372807
Name:HASENYAGER, VICTORIA (RD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:HASENYAGER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 E 14TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2387
Mailing Address - Country:US
Mailing Address - Phone:217-502-6228
Mailing Address - Fax:
Practice Address - Street 1:8000 E PRENTICE AVE STE D10
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2728
Practice Address - Country:US
Practice Address - Phone:720-432-7179
Practice Address - Fax:720-923-6968
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered