Provider Demographics
NPI:1285363531
Name:TANIMURA, RUI (MS, RDN, CYT)
Entity type:Individual
Prefix:
First Name:RUI
Middle Name:
Last Name:TANIMURA
Suffix:
Gender:F
Credentials:MS, RDN, CYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 S WILLOW ST APT 6105
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2136
Mailing Address - Country:US
Mailing Address - Phone:508-404-4918
Mailing Address - Fax:
Practice Address - Street 1:1300 S WILLOW ST APT 6105
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2136
Practice Address - Country:US
Practice Address - Phone:508-404-4918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered