NPI 1730533852 · live from the CMS NPI Registry
Charlene Ann Burian, MS RD CD IBCLC
Dietitian, Registered in Fort Wayne, IN. National Provider Identifier 1730533852, active.
NPI record
| NPI | 1730533852 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3213 Twisted Branch Pl, Fort Wayne, IN 46804 |
| Practice phone | 260-436-3980 |
| Enumerated | April 14, 2016 |
| Last updated | April 14, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37001225A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.