NPI 1629450697 · live from the CMS NPI Registry
Virginia Beck
Dietitian, Registered in North Las Vegas, NV. National Provider Identifier 1629450697, active.
NPI record
| NPI | 1629450697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2428 Desert Sparrow Ave, North Las Vegas, NV 89084 |
| Practice phone | 702-378-7717 |
| Enumerated | June 25, 2015 |
| Last updated | June 25, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 32478DI-1 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.