NPI 1619462041 · live from the CMS NPI Registry
Deanna Mary Desimone, RD, RDN
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1619462041, active.
NPI record
| NPI | 1619462041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6850 N Durango Dr Ste 301, Las Vegas, NV 89149 |
| Practice phone | 702-641-8500 |
| Mailing address | 7545 Oso Blanca Rd Unit 1188, Las Vegas, NV 89149 |
| Enumerated | June 27, 2018 |
| Last updated | July 9, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 39408-DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.