Miss Gretchen Nicole Wiese, MS, RD | |
12100 E Iliff Ave Ste 102, Aurora, CO 80014-1277 | |
(720) 262-7281 | |
(720) 372-4504 |
Full Name | Miss Gretchen Nicole Wiese |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 12100 E Iliff Ave Ste 102, Aurora, 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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1790449569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86080414 (Indiana) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Miss Gretchen Nicole Wiese, MS, RD 7100 E Mississippi Ave Apt 27-203, Denver, CO 80224-3167 Ph: () - | Miss Gretchen Nicole Wiese, MS, RD 12100 E Iliff Ave Ste 102, Aurora, CO 80014-1277 Ph: (720) 262-7281 |
Melissa Lanes, MS, RD, LDN, CHES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12348 E Montview Blvd, Aurora, CO 80045 Phone: 720-848-0000 | |
Xuan-dao Hao Pham, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 Wheeling St, Aurora, CO 80045 Phone: 720-723-4029 | |
Shana Eberhard, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 Wheeling St, Aurora, CO 80045 Phone: 720-723-6960 | |
Megan Elizabeth Schmitt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1635 Aurora Ct, Aurora, CO 80045 Phone: 720-848-9336 | |
Lannea Russell, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1532 Galena St, Suite 300, Aurora, CO 80010 Phone: 303-900-8639 | |
Jean Bessey, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 1775 Aurora Ct, Aurora, CO 80045 Phone: 303-724-4494 | |
Hannah Jane Brown, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 12348 E Montview Blvd, Aurora, CO 80045 Phone: 720-848-0000 |