Provider Demographics
NPI:1386482586
Name:STRASSBERG, DIANE (MNT)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:STRASSBERG
Suffix:
Gender:F
Credentials:MNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 ONEAL CIR APT H10
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1428
Mailing Address - Country:US
Mailing Address - Phone:303-917-8624
Mailing Address - Fax:
Practice Address - Street 1:3250 ONEAL CIR APT H10
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1428
Practice Address - Country:US
Practice Address - Phone:303-917-8624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education