Maranda Stone, | |
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
(720) 494-3119 | |
(720) 494-3171 |
Full Name | Maranda Stone |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
Location | 1925 Mountain View Ave, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891285680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86001295 (Colorado) | Secondary |
133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | 86001295 (Colorado) | Primary |
Provider Name | Poudre Valley Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
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Maranda Stone, 700 Ken Pratt Blvd Ste 206-131, Longmont, CO 80501-6452 Ph: (720) 494-3119 | Maranda Stone, 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 494-3119 |
Swapnaja B Kirunge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1420 Renaissance Dr Apt R308, Longmont, CO 80503 Phone: 720-378-0053 | |
Deborah Gertner, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1239 Collyer St, Longmont, CO 80501 Phone: 720-593-8190 | |
Lisa Stewart Mink, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1925 W. Mountain View Ave, Longmont, CO 80501 Phone: 720-494-3119 | |
Amber Layton, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1426 S Pratt Pkwy, Longmont, CO 80501 Phone: 720-600-8240 | |
Melinda Benz Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1751 Hover St, Ste B4 #84, Longmont, CO 80501 Phone: 719-347-1310 | |
Sheryl A Bachman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3190 |