Provider Demographics
NPI:1114687555
Name:COLEMAN, AURORA (RDN, CDN)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MERIDIAN STREET EXT APT 426
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-4154
Mailing Address - Country:US
Mailing Address - Phone:585-490-0184
Mailing Address - Fax:
Practice Address - Street 1:600 MERIDIAN STREET EXT APT 426
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-4154
Practice Address - Country:US
Practice Address - Phone:585-490-0184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered