NPI 1003449794 · live from the CMS NPI Registry
Amanda Evans Nutrition Consulting, LLC
Dietitian, Registered in Charlevoix, MI. National Provider Identifier 1003449794, active.
NPI record
| NPI | 1003449794 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 |
| Practice phone | 231-420-6535 |
| Enumerated | February 20, 2020 |
| Last updated | July 21, 2020 |
| Authorized official | Amanda Evans, Owner/Operator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.