NPI 1386019628 · live from the CMS NPI Registry
Olivia Craig, R.D.
Dietitian, Registered in Roswell, NM. National Provider Identifier 1386019628, active.
NPI record
| NPI | 1386019628 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1306 Westover Dr, Roswell, NM 88201 |
| Practice phone | 317-902-2820 |
| Enumerated | December 12, 2015 |
| Last updated | December 12, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1055 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.