Annalee Bauer

Individual provider Active NPI Registered Dietitian · Colorado Springs, CO

NPI 1497561948 · NPPES record last updated Dec 9, 2024

Key facts

NPI
1497561948
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86391840 (CO)
Practice address
1545 Peterson Rd
Colorado Springs, CO 80915-3118
Phone
(720) 209-9107
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86391840COMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86391840 CO Yes

Addresses

Primary practice location

1545 Peterson Rd
Colorado Springs, CO 80915-3118

Mailing address

1545 Peterson Rd
Colorado Springs, CO 80915-3118
Phone (720) 209-9107

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Registered Dietitian in Colorado

Sources for this page

Verify at the official NPI Registry.