NPI 1174028500 · live from the CMS NPI Registry
Debra Coblentz, RD
Dietitian, Registered in Fallon, NV. National Provider Identifier 1174028500, active.
NPI record
| NPI | 1174028500 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 550 N Sherman St, Fallon, NV 89406 |
| Practice phone | 775-423-7800 |
| Mailing address | 6270 Westwind Way, Fallon, NV 89406 |
| Enumerated | March 27, 2018 |
| Last updated | March 27, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 39243-DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.