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PRUCHNO MEDICINE LLC. / HEALTH TRANSITIONS CLINIC NPI 1962934877


NPI Information

NPI: 1962934877
Provider Name: PRUCHNO MEDICINE LLC. / HEALTH TRANSITIONS CLINIC
Classification: Dietitian, Registered - 133VN1005X
Entity Type: Organization

Specialization: Nutrition, Renal

Address:
202 10TH ST SE
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 247-3894
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PRUCHNO MEDICINE LLC. / HEALTH TRANSITIONS CLINIC is a nutrition and renal dietitian registered in Cedar Rapids, IA. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. PRUCHNO MEDICINE LLC. / HEALTH TRANSITIONS CLINIC NPI is 1962934877. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

202 10TH ST SE
CEDAR RAPIDS, IA
ZIP 52403-414
Phone: (319) 247-3894

The provider's authorized official is William A. Clayton .
The authorized official title is Office Manager and has the following contact phone number (319) 247-3894.

The enumeration date for this NPI number is 3/30/2017 and was last updated on 3/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1132700000XDietary Manager079549IOWANo
2133V00000XDietitian, Registered079549IOWANo
3133VN1006XDietitian, RegisteredNutrition, Metabolic079549IOWANo
4133VN1005XDietitian, RegisteredNutrition, Renal079549IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11101865MEDICAIDIOWA
2I17599MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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