NPI 1780123935 · live from the CMS NPI Registry
Daisy Arsenault, Registered Dietitian
Dietitian, Registered in Gallup, NM. National Provider Identifier 1780123935, active.
NPI record
| NPI | 1780123935 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2111 College Dr, Gallup, NM 87301 |
| Practice phone | 505-863-1820 |
| Mailing address | 1901 Red Rock Dr, Gallup, NM 87301 |
| Enumerated | February 21, 2017 |
| Last updated | February 21, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0889 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.