Provider Demographics
NPI:1750609145
Name:PALMERI, DENISE J (MS, RD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:J
Last Name:PALMERI
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 S DEPEW ST
Mailing Address - Street 2:F
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4801
Mailing Address - Country:US
Mailing Address - Phone:303-937-1891
Mailing Address - Fax:
Practice Address - Street 1:624 S DEPEW ST
Practice Address - Street 2:F
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4801
Practice Address - Country:US
Practice Address - Phone:303-937-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2016-11-08
Deactivation Date:2016-05-04
Deactivation Code:
Reactivation Date:2016-11-08
Provider Licenses
StateLicense IDTaxonomies
CERTIFICATE 814511133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered