DIABETIC NUTRITIONAL EDUCATION NPI 1164534095

NPI Information

NPI: 1164534095
Provider Name: DIABETIC NUTRITIONAL EDUCATION
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
25500 N NORTERRA DR
ATTN: HCFS
PHOENIX, AZ
ZIP 85085
Phone: (602) 328-8400
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DIABETIC NUTRITIONAL EDUCATION is a nutrition and education nutritionist in Phoenix, AZ. DIABETIC NUTRITIONAL EDUCATION NPI is 1164534095. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25500 N NORTERRA DR
ATTN: HCFS
PHOENIX, AZ
ZIP 85085-200
Phone: (602) 328-8400

The provider's authorized official is Kevin Ellis .
The authorized official title is Chief Medical Director and has the following contact phone number (623) 277-2246.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/28/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes

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

NPI Synchronization or Removal

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