Wellformed AI

NPI 1306448485 · live from the CMS NPI Registry

Nita Kathryn Cantrell, MS,RDN/LD, CDCES

Dietitian, Registered in Las Cruces, NM. National Provider Identifier 1306448485, active.

NPI record

NPI1306448485 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location4366 Malaga St, Las Cruces, NM 88011
Practice phone919-270-5928
EnumeratedNovember 12, 2020
Last updatedNovember 12, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000XLD-0874 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.