NPI 1285342170 · live from the CMS NPI Registry
Jeanette Mae Coe, RDN, LD
Dietitian, Registered in Las Cruces, NM. National Provider Identifier 1285342170, active.
NPI record
| NPI | 1285342170 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2123 Telshore Court, Las Cruces, NM 88011 |
| Practice phone | 915-219-2975 |
| Mailing address | 4658 Pyrite Rd, Las Cruces, NM 88012 |
| Enumerated | November 9, 2022 |
| Last updated | November 9, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | DT07410 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.