NPI 1780111401 · live from the CMS NPI Registry
Diabetes And Nutrition LLC
Dietitian, Registered in Kailua Kona, HI. National Provider Identifier 1780111401, active.
NPI record
| NPI | 1780111401 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 75-184 Hualalai Rd Ste 203, Kailua Kona, HI 96740 |
| Practice phone | 808-329-9211 |
| Mailing address | Po Box 4787, Kailua Kona, HI 96745 |
| Enumerated | May 12, 2017 |
| Last updated | May 24, 2022 |
| Authorized official | Terri Ryan, Rd, Cde |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 836581 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.