Provider Demographics
NPI:1326776196
Name:ALAS, MADDIE (CNTP, DNM)
Entity Type:Individual
Prefix:
First Name:MADDIE
Middle Name:
Last Name:ALAS
Suffix:
Gender:F
Credentials:CNTP, DNM
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:C
Other - Last Name:SLOMIANY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:88 INVERNESS CR E
Mailing Address - Street 2:BUILDING H SUITE 105
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-619-0499
Mailing Address - Fax:
Practice Address - Street 1:88 INVERNESS CIR E
Practice Address - Street 2:BLDG H SUITE 105
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-8011
Practice Address - Country:US
Practice Address - Phone:303-619-0499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty