Individual
COLLEEN NOVOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
16251 N CAVE CREEK RD, PHOENIX, AZ 85032-2976
(480) 882-4545
(602) 910-2941
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 692-6874
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1072617
AZ
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131882
—
AZ
Enumeration date
05/19/2023
Last updated
07/24/2023
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