NPI 1942926100 · live from the CMS NPI Registry
Jaelyn Viola Marie Bransford, RD, LD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1942926100, active.
NPI record
| NPI | 1942926100 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1520 Tramway Blvd Ne, Albuquerque, NM 87112 |
| Practice phone | 505-266-6121 |
| Mailing address | 1020 Central Ave Sw Apt 223, Albuquerque, NM 87102 |
| Enumerated | October 18, 2022 |
| Last updated | October 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.