Constance Roark, R.D.N.

Registered Dietitian · Boulder, CO

Individual Active NPI

NPI number 1639521941

Practice location

2935 Baseline Rd Ste 302
Boulder, CO 80303-2367
Phone
(720) 315-0051

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NPI record

NPI
1639521941
Entity type
Individual (Type 1)
Enumeration date
July 11, 2016
Last updated
July 11, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 1061264 CO

Mailing address

2235 Floral Dr
Boulder, CO 80304-2741

About Constance Roark

Constance Roark, R.D.N. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 2935 Baseline Rd Ste 302, Boulder, CO 80303-2367. The NPI number 1639521941 was assigned on July 11, 2016 and the record was last updated on July 11, 2016.

Constance Roark lists a license in the registry: #1061264 (CO) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Constance Roark, R.D.N.?

The NPI number is 1639521941.

What is the phone number of Constance Roark?

The phone number listed for the practice location is (720) 315-0051.

Where is Constance Roark located?

2935 Baseline Rd Ste 302, Boulder, CO 80303-2367.

What is the taxonomy code for Constance Roark?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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