Provider Demographics
NPI:1104331297
Name:MCARTHUR, TERRY LYNN (RD)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:LYNN
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LIPAN WAY
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-3634
Mailing Address - Country:US
Mailing Address - Phone:303-543-0307
Mailing Address - Fax:
Practice Address - Street 1:205 LIPAN WAY
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-3634
Practice Address - Country:US
Practice Address - Phone:303-543-0307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered