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Contact Information

PRAIRIE VIEW CREATIONS LLC
8508 N PRAIRIE VW
PRESCOTT VALLEY, AZ86315-9089
 Phone: 928-772-8652
 Fax: 928-772-8078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for PRAIRIE VIEW CREATIONS LLC · (Female)

NPI Number 1063979961
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2019
Last updated 11/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 488506
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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