NPI 1275691990 · live from the CMS NPI Registry
Heather M. Borsa, RD, CD
Dietitian, Registered in Elkhart, IN. National Provider Identifier 1275691990, active.
NPI record
| NPI | 1275691990 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 600 East Blvd, Nutrition Services Department, Elkhart, IN 46514 |
| Practice phone | 574-523-3236 |
| Mailing address | Po Box 660376, Egh Insurance Payments, Indianapolis, IN 46266 |
| Enumerated | December 5, 2006 |
| Last updated | October 19, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 932541 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.