NPI 1164534095

Diabetic Nutritional Education

Organisation Nutrition Education Nutritionist Phoenix, AZ

Practice location

Address: 25500 N Norterra Dr Attn: Hcfs, Phoenix, AZ 85085-8200
Phone: (602) 328-8400

Authorised official

Name: Kevin Ellis
Title: Chief Medical Director
Phone: (623) 277-2246

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

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Registry record

NPI: 1164534095
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 28 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.