Provider Demographics
NPI:1235302993
Name:SANTANGELO, CATHERINE MICHELLE (R D)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MICHELLE
Last Name:SANTANGELO
Suffix:
Gender:F
Credentials:R D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 S YORK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-1913
Mailing Address - Country:US
Mailing Address - Phone:303-704-2298
Mailing Address - Fax:
Practice Address - Street 1:1260 S YORK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1913
Practice Address - Country:US
Practice Address - Phone:303-704-2298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric