Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRVIN MOULTRY, RDN
Active Sole ProprietorIRVIN MOULTRY, RDN is a Sports Dietetics healthcare provider located in AURORA, Colorado. NPI 1679389597 is currently active in the NPPES registry. Verify at CMS.
Sports Dietetics · AURORA, CO
Registration Details
- NPI Number
- 1679389597
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2024 (1.7210718946001 yrs)
- Last Updated
- Dec 5, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
14159 E BELLEWOOD DRAURORA, CO, 800151170Browse CO providers · Browse ZIP 80015
- Phone
- 7194820392
- Primary Specialty
-
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.