Provider Demographics
NPI:1972378446
Name:VALDES, HEIDI (RD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:VALDES
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 1:9829 CAMAS LN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-8710
Mailing Address - Country:US
Mailing Address - Phone:541-390-4113
Mailing Address - Fax:
Practice Address - Street 1:9895 W REMINGTON PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6734
Practice Address - Country:US
Practice Address - Phone:720-583-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty