NPI 1508965567 · live from the CMS NPI Registry
Michelle Dejean, RD
Dietitian, Registered in Nellis Afb, NV. National Provider Identifier 1508965567, active.
NPI record
| NPI | 1508965567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 |
| Practice phone | 702-653-3679 |
| Mailing address | 7664 Apache Cliff St, Las Vegas, NV 89113 |
| Enumerated | September 22, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 863038 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.