Provider Demographics
NPI:1891244109
Name:VOLIN, ANDREA (RN, MNT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:VOLIN
Suffix:
Gender:F
Credentials:RN, MNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8561 E IOWA PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2741
Mailing Address - Country:US
Mailing Address - Phone:720-938-0127
Mailing Address - Fax:
Practice Address - Street 1:8561 E IOWA PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2741
Practice Address - Country:US
Practice Address - Phone:720-938-0127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X
CO0090347163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No163W00000XNursing Service ProvidersRegistered Nurse