Individual
EMILY TENBARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1600 IRON HORSE DR APT A105, LONGMONT, CO 80501-5701
(720) 394-1945
Mailing address
1600 IRON HORSE DR APT A105, LONGMONT, CO 80501-5701
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
06/09/2021
Last updated
06/09/2021
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