NPI 1083227656 · live from the CMS NPI Registry
Advanced Nutrition Services, LLC
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1083227656, active.
NPI record
| NPI | 1083227656 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2920 Carlisle Blvd Ne, Ste A1, Albuquerque, NM 87110 |
| Practice phone | 505-308-4797 |
| Mailing address | 916 Faye Pl Ne, Albuquerque, NM 87112 |
| Enumerated | August 25, 2020 |
| Last updated | August 25, 2020 |
| Authorized official | Hannah Contrucci, Owner |
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.