Individual
ANITA P BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4410 ARAPAHOE AVE STE 110, BOULDER, CO 80303-1135
(720) 487-9150
Mailing address
1527 PRATT ST, LONGMONT, CO 80501-2730
(720) 690-9207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86108951
CO
Other
Enumeration date
06/12/2020
Last updated
07/06/2020
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