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Contact Information

NOURISHED RD PLLC
1310 S WAYFARER
MESA, AZ85204-6239
 Phone: 480-464-1959
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for NOURISHED RD PLLC · (Female)

NPI Number 1831919455
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2024
Last updated 10/17/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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