NPI 1881865558 · live from the CMS NPI Registry
Terri P Elisberg, R.D.,L.D.,C.D.E.
Dietitian, Registered in Tijeras, NM. National Provider Identifier 1881865558, active.
NPI record
| NPI | 1881865558 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 47 Villacitos Rd, Tijeras, NM 87059 |
| Practice phone | 505-450-9961 |
| Mailing address | Po Box 998, Tijeras, NM 87059 |
| Enumerated | March 20, 2008 |
| Last updated | November 2, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 059 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.