PROFESSIONAL NUTRITION CONSULTING PLLC NPI 1619386596

NPI Information

NPI: 1619386596
Provider Name: PROFESSIONAL NUTRITION CONSULTING, PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2886 N HERITAGE ST
BUCKEYE, AZ
ZIP 85396
Phone: (717) 682-7729
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PROFESSIONAL NUTRITION CONSULTING, PLLC is a health service clinic center in Buckeye, AZ. PROFESSIONAL NUTRITION CONSULTING, PLLC NPI is 1619386596. The provider is registered as an organization entity type.

The provider's business location address is:

2886 N HERITAGE ST
BUCKEYE, AZ
ZIP 85396-522
Phone: (717) 682-7729

The provider's authorized official is Elisa Anne Rodriguez .
The authorized official title is Registered Dietitian Nutritionist and has the following contact phone number (717) 682-7729.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

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	261QH0100X	Clinic/Center	Health Service	DN003417	PENNSYLVANIA	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: 5/5/2024

NPI Synchronization or Removal

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