Provider Demographics
NPI:1417524893
Name:PATTON, ERIN RANAE (RDN)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:RANAE
Last Name:PATTON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3299 W AVONDALE DR # 10-062
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2247
Mailing Address - Country:US
Mailing Address - Phone:567-203-8715
Mailing Address - Fax:
Practice Address - Street 1:3299 W AVONDALE DR # 10-062
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2247
Practice Address - Country:US
Practice Address - Phone:567-203-8715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-05
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered