NPI 1316549843 · live from the CMS NPI Registry
Nicole Marie Bustamante, RD
Dietitian, Registered in Reno, NV. National Provider Identifier 1316549843, active.
NPI record
| NPI | 1316549843 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1155 Mill St # H11, Reno, NV 89502 |
| Practice phone | 775-982-5868 |
| Mailing address | 7495 Hunter Glen Dr, Reno, NV 89523 |
| Enumerated | November 10, 2020 |
| Last updated | November 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 32905-DI-3 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.