NPI 1609316769 · live from the CMS NPI Registry
Amy Bain, RD/LD
Dietitian, Registered in Las Cruces, NM. National Provider Identifier 1609316769, active.
NPI record
| NPI | 1609316769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2450 S Telshor Blvd, Las Cruces, NM 88011 |
| Practice phone | 575-521-5200 |
| Mailing address | 2450 S. Telshor, Las Cruces, NM 88007 |
| Enumerated | March 8, 2017 |
| Last updated | March 8, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0702 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.