Provider Demographics
NPI:1679187082
Name:BROWN, ERIKA D (MS, RDN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 W CONEJOS PL UNIT 201B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1455
Mailing Address - Country:US
Mailing Address - Phone:713-854-9543
Mailing Address - Fax:
Practice Address - Street 1:6767 S SPRUCE ST STE 125
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1284
Practice Address - Country:US
Practice Address - Phone:303-779-9355
Practice Address - Fax:303-778-0956
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86090735133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered