NPI 1588045033 · live from the CMS NPI Registry
Dietitiansabq
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1588045033, active.
NPI record
| NPI | 1588045033 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5203 Juan Tabo Blvd Ne, Suite 2e, Albuquerque, NM 87111 |
| Practice phone | 505-266-6121 |
| Enumerated | June 10, 2015 |
| Last updated | June 10, 2015 |
| Authorized official | Robert Keys, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.