Provider Demographics
NPI:1245605807
Name:COLEMAN, BRITTYN B (MS,RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:BRITTYN
Middle Name:B
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MS,RDN, LD
Other - Prefix:MISS
Other - First Name:BRITTYN
Other - Middle Name:B
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:2845 LINKS DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1597
Mailing Address - Country:US
Mailing Address - Phone:303-335-9752
Mailing Address - Fax:415-991-8114
Practice Address - Street 1:2101 PEARL ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302
Practice Address - Country:US
Practice Address - Phone:303-335-9752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2110133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered