Provider Demographics
NPI:1962289066
Name:HOELSCHER, TUESDAY JOY (MBA, RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:TUESDAY
Middle Name:JOY
Last Name:HOELSCHER
Suffix:
Gender:F
Credentials:MBA, RDN, LD
Other - Prefix:MS
Other - First Name:TUESDAY
Other - Middle Name:JOY
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBA, RDN, LD
Mailing Address - Street 1:277 HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:CO
Mailing Address - Zip Code:80816-8923
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:277 HOMESTEAD LN
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:CO
Practice Address - Zip Code:80816-8923
Practice Address - Country:US
Practice Address - Phone:817-773-8279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85064133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered