Provider Demographics
NPI:1255642351
Name:PFEIFFER, KATALIN (MNT)
Entity type:Individual
Prefix:MS
First Name:KATALIN
Middle Name:
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:MNT
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:PFEIFFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MNT
Mailing Address - Street 1:12620 YATES ST
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5788
Mailing Address - Country:US
Mailing Address - Phone:303-995-5197
Mailing Address - Fax:
Practice Address - Street 1:80 GARDEN CTR
Practice Address - Street 2:SUITE #220
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7087
Practice Address - Country:US
Practice Address - Phone:303-995-5197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CON/A133N00000X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education