Provider Demographics
NPI:1104121425
Name:DORROUGH, HELEN ANNE (MS, RD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:ANNE
Last Name:DORROUGH
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6288 WILLOW SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-2134
Mailing Address - Country:US
Mailing Address - Phone:303-549-3184
Mailing Address - Fax:
Practice Address - Street 1:6288 WILLOW SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-2134
Practice Address - Country:US
Practice Address - Phone:303-549-3184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered