Wellformed AI

NPI 1780297077 · live from the CMS NPI Registry

Alexa Eisenberg, MS, RDN

Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1780297077, active.

NPI record

NPI1780297077 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location4227 Pacifico Ln, Las Vegas, NV 89135
Practice phone608-213-5840
EnumeratedAugust 26, 2020
Last updatedAugust 26, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X— (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.