NPI 1598590291

Glendale Redbird Co

Organisation Nutritionist Glendale, AZ

Practice location

Address: 6637 N 58th Dr APT 7, Glendale, AZ 85301-3900
Phone: (623) 624-5179
Mailing address: 6637 N 58th Dr APT 3, Glendale, AZ 85301-3900

Authorised official

Name: Mydung Thi Phan
Title: Cfo
Phone: (623) 624-5207

Registered specialties (6)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Point of Service

Managed Care Organizations Taxonomy 305S00000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Transportation Broker

Transportation Services Taxonomy 347E00000X

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Registry record

NPI: 1598590291
Entity type: Organization
NPI issued: 4 Sep 2024
Record last updated: 12 Nov 2024

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.