NPI 1407604911 · live from the CMS NPI Registry
Camille Jean Adams
Dietitian, Registered in Grand Rapids, MI. National Provider Identifier 1407604911, active.
NPI record
| NPI | 1407604911 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 16 Ionia Ave Sw Apt 4a, Grand Rapids, MI 49503 |
| Practice phone | 517-899-9628 |
| Enumerated | May 9, 2024 |
| Last updated | May 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86357980 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.