Provider Demographics
NPI:1780828442
Name:HAFTEL, GISELLE BELA (RD)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:BELA
Last Name:HAFTEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 S BROADWAY STE G30
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2636
Mailing Address - Country:US
Mailing Address - Phone:305-528-2296
Mailing Address - Fax:305-682-0232
Practice Address - Street 1:7720 S BROADWAY STE G30
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2636
Practice Address - Country:US
Practice Address - Phone:305-528-2296
Practice Address - Fax:305-682-0232
Is Sole Proprietor?:No
Enumeration Date:2009-04-26
Last Update Date:2009-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO948971133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered