Whalio Doctors

NPI 1003459280

Laura Grace Simmons, MSRDNCD

Practitioner Registered Dietitian Phoenix, AZ

Practice location

Address
2713 W Pecan Rd, Phoenix, AZ 85041-4421
Phone
(253) 470-8399
Fax
(866) 540-3225

Registered specialties (2)

Registered Dietitian Primary
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86119587
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2019039025 (MO)

Registry record

NPI
1003459280
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Oct 2019
Record last updated
16 Oct 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.