Colleen Clesen, NDTR
Dietetic Technician, Registered in Batavia, IL. Individual provider (NPI-1).
NPI number1760238299
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1760238299
- Entity type
- Individual (NPI-1)
- Name
- Colleen Clesen
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2024
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 136A00000X | Dietetic Technician, Registered | 86081341 | IL | Yes |
Practice location
14 N Island AveBatavia, IL 60510-1929
Phone 630-479-2086
Mailing address
1225 Ash StSaint Charles, IL 60174-4120
Phone 630-479-2086
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.