NPI 1225231236

Eva M Vivian, REGISTEREDDIETITIAN

Practitioner Nutrition Education Nutritionist Madison, WI

Practice location

Address: 2202 S Park St, Madison, WI 53713-1916
Phone: (608) 443-5480
Fax: (608) 443-5553
Mailing address: 3434 E Washington Ave, Madison, WI 53704-4155

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 14843-040 (WI)

Other Nutritionist providers in Wisconsin →

Registry record

NPI: 1225231236
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2007
Record last updated: 8 Jul 2007

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.