NPI 1235764036 · live from the CMS NPI Registry
Allison Bouzek, MS, RDN
Dietitian, Registered in Avon, IN. National Provider Identifier 1235764036, active.
NPI record
| NPI | 1235764036 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 867 Sunvista Dr, Avon, IN 46123 |
| Practice phone | 319-270-1650 |
| Enumerated | March 12, 2020 |
| Last updated | March 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.