NPI 1386926764 · live from the CMS NPI Registry
Angelique S Crandall, L.D.
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1386926764, active.
NPI record
| NPI | 1386926764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 7510 Montgomery Blvd Ne Ste 203, Albuquerque, NM 87109 |
| Practice phone | 505-855-5545 |
| Enumerated | September 13, 2011 |
| Last updated | June 12, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0825 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.