NPI 1619088564 · live from the CMS NPI Registry
Nora Laura Garza, RD
Dietitian, Registered in Cheyenne, WY. National Provider Identifier 1619088564, active.
NPI record
| NPI | 1619088564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2360 E Pershing Blvd, Cheyenne, WY 82001 |
| Practice phone | 307-778-7550 |
| Mailing address | 2820 W 22nd Street Rd, Greeley, CO 80634 |
| Enumerated | August 31, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 849383 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.