NPI 1679079974 · live from the CMS NPI Registry
Karolina Balkenbush
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1679079974, active.
NPI record
| NPI | 1679079974 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5761 S Fort Apache Rd, Bld 8, Las Vegas, NV 89148 |
| Practice phone | 702-341-6610 |
| Enumerated | April 4, 2018 |
| Last updated | April 3, 2020 |
| Sole proprietor | No |
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.