NPI 1346458353 · live from the CMS NPI Registry
Pamela Jean Averill, RD
Dietitian, Registered in Indianapolis, IN. National Provider Identifier 1346458353, active.
NPI record
| NPI | 1346458353 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3838 N Rural St, Indianapolis, IN 46205 |
| Practice phone | 317-221-2306 |
| Mailing address | 30 N 6th St, Zionsville, IN 46077 |
| Enumerated | May 21, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37001269A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.