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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

NPI # 1063979961
LBN Legal business name PRAIRIE VIEW CREATIONS LLC
Authorized official CHAD HETHERWICK - (REGISTERED DIETITIAN NUTRITIONIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2019
Last updated 11/03/2020 - About 6 years ago
Identifiers
AZ Medicaid 488506
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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