Wellformed AI

NPI 1477150464 · live from the CMS NPI Registry

Erika Alexandra Belloso Gonzalez

Dietitian, Registered in Louisville, KY. National Provider Identifier 1477150464, active.

NPI record

NPI1477150464 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location800 Zorn Ave, Louisville, KY 40206
Practice phone251-648-3015
Mailing address3358 Torrey Dr, Mobile, AL 36693
EnumeratedOctober 3, 2020
Last updatedOctober 3, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.