NPI 1003011602 · live from the CMS NPI Registry
Am Nutrition Services
Dietitian, Registered in Glendale, AZ. National Provider Identifier 1003011602, active.
NPI record
| NPI | 1003011602 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 18001 N 79th Ave Ste A12, Glendale, AZ 85308 |
| Practice phone | 623-399-6825 |
| Enumerated | June 15, 2007 |
| Last updated | August 8, 2024 |
| Authorized official | Amy Mccallister, Dietitian |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 875272 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.