Provider Demographics
NPI:1831702497
Name:ROSTRON, ERIKA (RDN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ROSTRON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1232
Mailing Address - Country:US
Mailing Address - Phone:970-988-9812
Mailing Address - Fax:
Practice Address - Street 1:8120 SHERIDAN BLVD BLDG C
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-6104
Practice Address - Country:US
Practice Address - Phone:708-717-7394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered