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Contact Information

DIABETIC NUTRITIONAL EDUCATION
25500 N NORTERRA DR
ATTN: HCFS
PHOENIX, AZ85085-8200
 Phone: 602-328-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for DIABETIC NUTRITIONAL EDUCATION · (Female)

NPI # 1164534095
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 01/28/2014 - About 12 years 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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