NPI 1235792177

Alexa Breanne Pullen, RD

Practitioner Registered Dietitian Eagle River, AK

Practice location

Address: 19239 Darby Rd, Eagle River, AK 99577
Phone: (907) 854-4482
Mailing address: 12110 Business Blvd STE 6 Pmb 189, Eagle River, AK 99577-7798

Registered specialties (3)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 229812 (AK)

Other Dietitian, Registered providers in Alaska →

Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 145169 (AK)

Other Nutritionist providers in Alaska →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DT86980 (TX)

Registry record

NPI: 1235792177
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2019
Record last updated: 20 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.