NPI 1396321840 · live from the CMS NPI Registry
Andrea Giambrone De Roode, MS, RD, LD
Dietitian, Registered in Kula, HI. National Provider Identifier 1396321840, active.
NPI record
| NPI | 1396321840 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 17732 Haleakala Hwy, Kula, HI 96790 |
| Practice phone | 808-269-9633 |
| Mailing address | Po Box 1147, Kula, HI 96790 |
| Enumerated | March 23, 2021 |
| Last updated | April 6, 2021 |
| Sole proprietor | Yes |
| Other names | Andrea De Roode |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1009991 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.