NPI 1063044923

Agnes Koldenhoven, RDN

Practitioner Registered Dietitian Gilbert, AZ

Practice location

Address: 2470 S Val Vista Dr STE 104, Gilbert, AZ 85295-1693
Phone: (602) 770-7611
Mailing address: 824 N Cholla St, Chandler, AZ 85224-4290

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 804971 (IL)

Other Dietitian, Registered providers in Arizona →

Registry record

NPI: 1063044923
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2020
Record last updated: 9 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.