Provider Demographics
NPI:1932907631
Name:KOLSIN, DANIELLE LEANN (RD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LEANN
Last Name:KOLSIN
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 1:10671 CLERMONT ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-4533
Mailing Address - Country:US
Mailing Address - Phone:970-556-9309
Mailing Address - Fax:
Practice Address - Street 1:10671 CLERMONT ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4533
Practice Address - Country:US
Practice Address - Phone:970-556-9309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86151712133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered