DIANE MARIE SELLECK RD NPI 1750503900

NPI Information

NPI: 1750503900
Provider Name: DIANE MARIE SELLECK, RD
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
12033 AGENCY RD
PARKER, AZ
ZIP 85344
Phone: (928) 669-3283
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Diane Marie Selleck, RD is a nutrition and metabolic dietitian registered in Parker, AZ. Diane Marie Selleck, RD NPI is 1750503900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12033 AGENCY RD
PARKER, AZ
ZIP 85344-718
Phone: (928) 669-3283

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/23/2007.

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	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	932530		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37001488A	OTHER	INDIANA	DIETITIAN CERTIFICATION
2	932530	OTHER		CDR REGISTRATION ID NUMBE

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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