NPI 1023493350 · live from the CMS NPI Registry
Angela Borrego, RD
Dietitian, Registered in Espanola, NM. National Provider Identifier 1023493350, active.
NPI record
| NPI | 1023493350 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 748a Brown St, Espanola, NM 87532 |
| Practice phone | 505-927-7282 |
| Enumerated | July 28, 2015 |
| Last updated | July 28, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0994 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.