NPI 1750119756 · live from the CMS NPI Registry
Maria Evita Isip Allen
Dietitian, Registered in Trussville, AL. National Provider Identifier 1750119756, active.
NPI record
| NPI | 1750119756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 317 Woodward Rd, Trussville, AL 35173 |
| Practice phone | 205-999-8809 |
| Enumerated | July 23, 2024 |
| Last updated | July 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 2727 (AL) |
| Dietitian, Registered primary | 133V00000X | DT90576 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.