NPI 1184042467 · live from the CMS NPI Registry
Medical Nutrition Maui LLC
Dietitian, Registered in Kula, HI. National Provider Identifier 1184042467, active.
NPI record
| NPI | 1184042467 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 37 Lauie Dr, Kula, HI 96790 |
| Practice phone | 808-760-2284 |
| Enumerated | April 3, 2014 |
| Last updated | October 18, 2014 |
| Authorized official | Naomi Carreno, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 928923 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.