NPI 1184066748 · live from the CMS NPI Registry
Berry Nutritious
Dietitian, Registered in North Las Vegas, NV. National Provider Identifier 1184066748, active.
NPI record
| NPI | 1184066748 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3825 Craig Crossing Dr, 2048, North Las Vegas, NV 89032 |
| Practice phone | 773-301-7397 |
| Enumerated | July 24, 2013 |
| Last updated | July 24, 2013 |
| Authorized official | Natalie Lewis, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 33016DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.