NPI 1356306237 · live from the CMS NPI Registry
Susan Dade, RD
Dietitian, Registered in Artesia, NM. National Provider Identifier 1356306237, active.
NPI record
| NPI | 1356306237 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 606 N 13th St Ste 300, Artesia, NM 88210 |
| Practice phone | 575-736-8233 |
| Mailing address | 702 N 13th St, Artesia, NM 88210 |
| Enumerated | April 20, 2006 |
| Last updated | June 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 103 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.