NPI 1831458801 · live from the CMS NPI Registry
Phyllis Balmer, RD
Dietitian, Registered in Linden, MI. National Provider Identifier 1831458801, active.
NPI record
| NPI | 1831458801 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1217 Ripley Rd, Linden, MI 48451 |
| Practice phone | 810-955-6582 |
| Enumerated | May 11, 2012 |
| Last updated | May 11, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 00107887 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.