NPI 1508004078 · live from the CMS NPI Registry
Colleen Corey, RD, CDE
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1508004078, active.
NPI record
| NPI | 1508004078 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5761 S. Fort Apache Rd, Las Vegas, NV 89148 |
| Practice phone | 702-341-6610 |
| Enumerated | January 21, 2009 |
| Last updated | February 22, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 723996 (MD) |
| Dietitian, Registered primary | 133V00000X | 32949DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.