Provider Demographics
NPI:1588789630
Name:MCCREA & ASSOCIATES NUTRITION MANAGEMENT SYSTEMS, INC
Entity type:Organization
Organization Name:MCCREA & ASSOCIATES NUTRITION MANAGEMENT SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCREA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:970-227-3386
Mailing Address - Street 1:682 YUKON CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3187
Mailing Address - Country:US
Mailing Address - Phone:970-227-3386
Mailing Address - Fax:
Practice Address - Street 1:682 YUKON CT
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3187
Practice Address - Country:US
Practice Address - Phone:970-227-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty