Individual provider · NPI-1

Miranda Huiting, RD

Dietitian, Registered · Broomfield, CO

NPI number1891290607
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1891290607
Entity type
Individual (NPI-1)
Name
Miranda Huiting
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2018
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86079803COYes
133V00000X Dietitian, Registered86079803OH

Practice location

4278 Cambridge Ave
Broomfield, CO 80020-7928

Phone 209-826-5337

Mailing address

4278 Cambridge Ave
Broomfield, CO 80020-7928

Phone 209-826-5337

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