Provider Demographics
NPI:1649807025
Name:BRUNS, JANELLE (RD)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:BRUNS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:
Other - Last Name:HILMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:10599 W DARTMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5608
Mailing Address - Country:US
Mailing Address - Phone:720-448-3284
Mailing Address - Fax:
Practice Address - Street 1:2525 S DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5817
Practice Address - Country:US
Practice Address - Phone:303-765-6859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86088779133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered