NPI 1033164082 · live from the CMS NPI Registry
Jeanne M Bradford, MS RD
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1033164082, active.
NPI record
| NPI | 1033164082 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6968 Oakleigh Dr, Las Vegas, NV 89110 |
| Practice phone | 702-452-5687 |
| Enumerated | May 24, 2006 |
| Last updated | December 30, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 579902 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.