Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X | |||
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1003060864 |
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| LBN Legal business name | CHILDREN'S HOSPITAL - DIABETES EDUCATION | ||||
| Authorized official | NANCY BARNA - (INTERNAL AUDIT MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 11/06/2008 | ||||
| Last updated | 11/06/2008 - About 18 years ago | ||||
| Identifiers |
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