Jean Ann Mikrut in Dewey - Dietitian, Registered
Jean Ann Mikrut - NPI 1639112907
Jean Ann Mikrut is a Dietitian, Registered in Dewey, Arizona. Jean Ann Mikrut practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jean Ann Mikrut is 1639112907. The last update date is 2007-11-16.
Jean Ann Mikrut's current location address is 11277 E Ironwood Ln, Dewey, Arizona. You can contact this provider via phone number 9284586025 and fax number 9287755637. The mailing address for Jean Ann Mikrut is 11277 E Ironwood Ln, Dewey, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Ann Mikrut |
|---|---|
| Address | 11277 E Ironwood Ln, Dewey, Arizona |
| Phone Number | 9284586025 |
| Fax Number | 9287755637 |
| Sole Proprietor | Y |
| Credentials | REGISTERED |
NPI Number Detail
| NPI Number | 1639112907 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 11277 E Ironwood Ln |
|---|---|
| City | Dewey |
| State | Arizona (AZ) |
| Post Code | 863275508 |
| Phone Number | 9284586025 |
| Fax Number | 9287755637 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 727156 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106736 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jean Ann Mikrut by the Centers for Medicare & Medicaid Services (CMS)?
The Jean Ann Mikrut has been assigned the NPI (National Provider Identifier) 1639112907. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jean Ann Mikrut's facilities are geographically located?
The facilities of Jean Ann Mikrut are physically situated at the following location: 11277 E Ironwood Ln, Dewey, AZ, 863275508.
What is Jean Ann Mikrut's area of expertise and its corresponding taxonomy classification?
The Jean Ann Mikrut's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.
When did the Jean Ann Mikrut receive its 1639112907?
The Jean Ann Mikrut was issued its 1639112907 on 2006-06-14, which is the date when the organization was assigned this unique identifier.
When was the Jean Ann Mikrut's information last updated?
The Jean Ann Mikrut's information was last updated on 2007-11-16.
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