| Genesis Nutrition Llc | |
|
7717 Ivy Lane, Wellington, CO 80549 | |
| (307) 746-8353 | |
| Not Available |
| Full Name | Genesis Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 7717 Ivy Lane, Wellington, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386304962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Nutrition Llc Po Box 708, Wellington, CO 80549-0708 Ph: (307) 746-8353 | Genesis Nutrition Llc 7717 Ivy Lane, Wellington, CO 80549 Ph: (307) 746-8353 |
Mrs. Heather Kirby, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9300 Hat Trick Ln, Wellington, CO 80549 Phone: 970-846-2209 | |
Ms. Wendy Kay Nicastle, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12832 Appaloosa Ave, Wellington, CO 80549 Phone: 970-231-7561 | |
Kaitlyn Rae Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7717 Ivy Lane, Wellington, CO 80549 Phone: 307-746-8353 |