NPI 1356504757 · live from the CMS NPI Registry
Nancy Ann Eitler, RD
Dietitian, Registered in Pine Ridge, SD. National Provider Identifier 1356504757, active.
NPI record
| NPI | 1356504757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | East Hwy 18, Pine Ridge, SD 57770 |
| Practice phone | 605-867-3112 |
| Mailing address | Po Box 1201, Pine Ridge, SD 57770 |
| Enumerated | July 7, 2008 |
| Last updated | July 7, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0175 (SD) |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | 0175 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.