Individual
DEBORAH GERTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1239 COLLYER ST, LONGMONT, CO 80501-3411
(720) 593-8190
Mailing address
1239 COLLYER ST, LONGMONT, CO 80501-3411
(720) 593-8190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN008632
PA
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86032801
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DN008632
COMMONWEALTH OF PENNSYLVANIA- DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OC
PA
Enumeration date
09/30/2020
Last updated
08/15/2024
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