Provider Demographics
NPI:1578382552
Name:HELGESON-CUITINO, PEYTON (RDN)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:
Last Name:HELGESON-CUITINO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10120 69TH ST
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-8378
Mailing Address - Country:US
Mailing Address - Phone:847-845-1877
Mailing Address - Fax:
Practice Address - Street 1:10120 69TH ST
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-8378
Practice Address - Country:US
Practice Address - Phone:847-845-1877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered