LISA VANATTA MS RDN CSP NPI 1851856041

NPI Information

Lisa Vanatta, MS, RDN, CSP is a nutrition and pediatric dietitian registered in Phoenix, AZ. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Lisa Vanatta, MS, RDN, CSP NPI is 1851856041. 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:

1919 E THOMAS RD BLDG 3
PHOENIX, AZ
ZIP 85016-710
Phone: (602) 933-0970
Fax: (602) 933-4253

The enumeration date for this NPI number is 2/1/2019 and was last updated on 7/16/2019.

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:

Other Identifiers

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

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