NPI 1700069788 · live from the CMS NPI Registry
Laura Ann Deverse, R.D.
Dietitian, Registered, Nutrition, Metabolic in Carson City, NV. National Provider Identifier 1700069788, active.
NPI record
| NPI | 1700069788 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Metabolic 133VN1006X |
| Practice location | 1600 Medical Pkwy, Nutritional Services, Carson City, NV 89703 |
| Practice phone | 775-445-8035 |
| Mailing address | Po Box 2168, Carson City, NV 89702 |
| Enumerated | December 12, 2007 |
| Last updated | February 3, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Metabolic primary | 133VN1006X | 816922 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.