Aurora Coleman, RDN, CDN | |
600 Meridian Street Ext Apt 426, Groton, CT 06340-4154 | |
(585) 490-0184 | |
Not Available |
Full Name | Aurora Coleman |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 600 Meridian Street Ext Apt 426, Groton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114687555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Nourish Rd Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013621291 PECOS PAC ID: 0446611289 Enrollment ID: O20230726003705 |
Mailing Address | Practice Location Address |
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Aurora Coleman, RDN, CDN 600 Meridian Street Ext Apt 426, Groton, CT 06340-4154 Ph: (585) 490-0184 | Aurora Coleman, RDN, CDN 600 Meridian Street Ext Apt 426, Groton, CT 06340-4154 Ph: (585) 490-0184 |
Jennifer Dahlgren, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 277 Thames St, Groton, CT 06340 Phone: 650-799-0499 | |
Stephanie Ann Mcburnett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16 Canopus Ave, Groton, CT 06340 Phone: 240-475-7920 | |
Jennifer N Back, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-5212 | |
Erica M. Rivera, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Buddington Rd Apt 4, Groton, CT 06340 Phone: 239-900-5806 |