| Vital Rd Llc | |
|
7564 S Xenia Ct, Centennial, CO 80112-2730 | |
| (303) 562-4500 | |
| Not Available |
| Full Name | Vital Rd Llc |
|---|---|
| Type | Facility |
| Speciality | Nurse Practitioner - Family |
| Location | 7564 S Xenia Ct, Centennial, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326620758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Jessica Crandall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760447650 PECOS PAC ID: 2466460951 Enrollment ID: I20060324000228 |
| Provider Name | Cassie L Serpan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164166112 PECOS PAC ID: 5395288328 Enrollment ID: I20240619000849 |
| Provider Name | Meghan Eoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912778366 PECOS PAC ID: 1951842749 Enrollment ID: I20250612002933 |
| Provider Name | Danae Reeves |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649075532 PECOS PAC ID: 5698277143 Enrollment ID: I20250904004538 |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Rd Llc 7564 S Xenia Ct, Centennial, CO 80112-2730 Ph: (303) 562-4500 | Vital Rd Llc 7564 S Xenia Ct, Centennial, CO 80112-2730 Ph: (303) 562-4500 |