NPI 1851890495 · live from the CMS NPI Registry
Mariela Cisco
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1851890495, active.
NPI record
| NPI | 1851890495 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 801 Vassar Dr Ne, Albuquerque, NM 87106 |
| Practice phone | 505-248-7658 |
| Enumerated | February 9, 2018 |
| Last updated | February 9, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 723974 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.