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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

NPI # 1831919455
LBN Legal business name NOURISHED RD PLLC
Authorized official MIRANDA CURTIS - (LEAD DIETITIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2024
Last updated 10/17/2024 - More than a year ago
Identifiers n/a
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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