Individual
AURA LEE BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
377 SYLVAN LAKE ROAD SUITE 220, EAGLE, CO 81631
(970) 328-6357
(970) 328-5633
Mailing address
377 SYLVAN LAKE RD, STE 201, EAGLE, CO 81631-0129
(970) 328-6357
(970) 328-5633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
956012
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831367176
NPI NUMBER
—
01
—
CO300645
INDIVIDUAL PTAN
—
01
—
CU5608
GROUP PTAN
—
Enumeration date
02/20/2008
Last updated
08/01/2008
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