NPI 1194405563 · live from the CMS NPI Registry
Mariah Altman, RD
Dietitian, Registered in Elko, NV. National Provider Identifier 1194405563, active.
NPI record
| NPI | 1194405563 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2001 Errecart Blvd, Elko, NV 89801 |
| Practice phone | 775-748-2094 |
| Mailing address | 3517 Autumn Colors Dr, Elko, NV 89801 |
| Enumerated | July 20, 2023 |
| Last updated | July 20, 2023 |
| Sole proprietor | Yes |
| Other names | Mariah Eckley |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 40137-DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.