Provider Demographics
NPI:1912335183
Name:BUGAS, TANJA KAY (MS,RD)
Entity Type:Individual
Prefix:MRS
First Name:TANJA
Middle Name:KAY
Last Name:BUGAS
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 1:8348 S UPHAM WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-6354
Mailing Address - Country:US
Mailing Address - Phone:303-973-6081
Mailing Address - Fax:
Practice Address - Street 1:8348 S UPHAM WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6354
Practice Address - Country:US
Practice Address - Phone:303-973-6081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
516588133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered