NPI 1104254648 · live from the CMS NPI Registry
Jennifer Cournoyer, RD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1104254648, active.
NPI record
| NPI | 1104254648 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1501 San Pedro Dr Ne, 120, Albuquerque, NM 87110 |
| Practice phone | 505-265-1711 |
| Enumerated | October 18, 2013 |
| Last updated | October 18, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86019267 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.