NPI 1477184018

Jordan Bontrager, RDLMNT

Practitioner Nutritionist Omaha, NE

Practice location

Address: 6829 N 72nd St STE 4500, Omaha, NE 68122-1724
Phone: (402) 717-1299
Fax: (402) 717-0770
Mailing address: 8207 Northwoods Dr STE 100, Lincoln, NE 68505-2093

Registered specialties (3)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 1470 (NE)

Other Nutritionist providers in Nebraska →

Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 110956 (IA)

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Nebraska →

Registry record

NPI: 1477184018
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2020
Record last updated: 28 Sep 2023

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.