NPI 1104073162 · live from the CMS NPI Registry
Andrea J Abatemarco, RD
Dietitian, Registered in Detroit, MI. National Provider Identifier 1104073162, active.
NPI record
| NPI | 1104073162 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4201 Saint Antoine St, Uhc, Suite 5a, Detroit, MI 48201 |
| Practice phone | 313-745-4525 |
| Mailing address | 3800 Woodward Ave, Suite 600, Detroit, MI 48201 |
| Enumerated | August 21, 2008 |
| Last updated | August 21, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 01024498 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.