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Contact Information

PETRA H COLINDRES, MA,RDN/LD,IBCLC,CPT
4129 NW 45TH ST
OKLAHOMA CITY, OK73112
 Phone: 858-352-8354
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for PETRA H COLINDRES · (Female)

NPI Number 1407232317
Status Active
Credentials MA,RDN/LD,IBCLC,CPT
Entity Individual
Enumeration date 08/03/2015
Last updated 04/26/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # LP2053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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