Provider Demographics
NPI:1376883389
Name:BELL, SUSAN KRISTINE (RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:KRISTINE
Last Name:BELL
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 S. SPRUCE ST
Mailing Address - Street 2:STE #125
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1283
Mailing Address - Country:US
Mailing Address - Phone:303-779-9355
Mailing Address - Fax:303-779-0956
Practice Address - Street 1:6767 S. SPRUCE ST.
Practice Address - Street 2:STE. 125
Practice Address - City:ENGL
Practice Address - State:CO
Practice Address - Zip Code:80112-1283
Practice Address - Country:US
Practice Address - Phone:303-779-9355
Practice Address - Fax:303-779-0956
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic